Maple Star Nevada

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAPLE STAR NEVADA

Practice address

2090 Seattle Shore St
Las Vegas, NV 89115-5227

Phone

(678) 361-1979

Fax

(702) 431-3512

NPI assigned

Aug 17, 2009

Organization subpart

No

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

Authorized official

Name

Charles Richard Trimble, M.A.

Title

Program Director

Phone

(702) 733-8098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1114159787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 SEATTLE SHORE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891155227",
            "telephone_number": "678-361-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 SEATTLE SHORE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891155227",
            "telephone_number": "678-361-1979",
            "fax_number": "702-431-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE STAR NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "TRIMBLE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "702-733-8098",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Mapano
• Monica Mapes
• Virginia Walker Mapes
• Maple Star
• Maple Star Nevada
• Maple Star Nevada
• Maple Star Nevada
• Maple Star Nevada
• Maple Star Nevada
• Maple Star Nevada

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.