Maple Leaf Behavioral Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MAPLE LEAF BEHAVIORAL SERVICES

Doing business as

n/a

Practice address

1332 Disston St
Philadelphia, PA 19111-4502

Phone

(267) 815-8544

NPI assigned

May 13, 2016

Last updated

May 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel MarreroNPI 1467010389

Title

Ceo

Phone

(267) 815-8544

Specialties & licenses 1

Addresses

Other names 1

• n/a Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emmanuel Marrero

  • Home Health Aide
  • Philadelphia, PA
  • NPI 1467010389
  Authorized official Same address or phone
• Alicia Livelli

  • Speech-Language Pathologist
  • Philadelphia, PA
  • NPI 1417474560
  NPD (past)

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1124474697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 DISSTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114502",
            "telephone_number": "267-815-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 DISSTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191114502",
            "telephone_number": "267-815-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LEAF BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-815-8544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela A. Manzoni, PA-C
• Anne Mao
• Frances Mao
• Yi Xuan Mao, DENTAL STUDENT
• Map It Out Home Care Services, LLC
• Maple Leaf Home Care Services LLC
• Maple Medical and Wellness
• Christopher Michael Maples-Campbell
• Maplewood Manor, LLC (AristaCare at Maplewood)
• Maplewood Nursing and Rehabilitation Center PA LP

• Early Intervention Provider Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.