Heritage Maples LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HERITAGE MAPLES LLC

Practice address

14282 Business Center Dr NW
Elk River, MN 55330-1664

Phone

(763) 595-1251

Fax

(763) 241-0630

NPI assigned

Jan 22, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sage V Walker

Title

Admin

Phone

(612) 000-0000

Specialties & licenses 2

Addresses

Other names 1

• BeeHive Homes of Elk River Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1104334382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14282 BUSINESS CENTER DR NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301664",
            "telephone_number": "763-595-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14282 BUSINESS CENTER DR NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301664",
            "telephone_number": "763-595-1251",
            "fax_number": "763-241-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MAPLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SAGE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "612-000-0000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BeeHive Homes of Elk River",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BeeHive Homes of Elk River",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Edward Havel, MD
• Healing Choices LLC
• Monica Marie Heinen, PT
• Selena Jade Henderson
• Claudia Heraiz, OD
• Kelly Lynn Herman, MA, LPCC
• Rodney Jerome Hess, OD
• Jaime Nicole Hetzler, PHARMD
• Thomas John Hickey, DDS
• Hillside Chiropractic Clinic

• Assisted Living Facility in Elk River, MN
• Providers in Elk River, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.