Maplemanor Christian Home, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

15-000563-1 Issued in IN

Legal business name

MAPLEMANOR CHRISTIAN HOME, INC.

Practice address

643 W Utica St
Sellersburg, IN 47172-1163

Phone

(812) 246-4866

Fax

(812) 246-3925

NPI assigned

Aug 18, 2015

Last updated

Aug 18, 2015By 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

Mrs. Katherine L. Wilson

Title

Accounting Clerk

Phone

(812) 246-4866

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1124494760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 W UTICA ST",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721163",
            "telephone_number": "812-246-4866",
            "fax_number": "812-246-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 W UTICA ST",
            "city": "SELLERSBURG",
            "state": "IN",
            "postal_code": "471721163",
            "telephone_number": "812-246-4866",
            "fax_number": "812-246-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEMANOR CHRISTIAN HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ACCOUNTING CLERK",
        "authorized_official_telephone_number": "812-246-4866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IN",
            "license": "15-000563-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Han Ella Lim
• Jerome Lopez, PT
• Jessica Marie Love, M.A., CCC-SLP
• Nathan Charles Lynch, PT, CFCE, CSCS
• Katherine Marie Majot, OT
• Jennifer Matthews
• Kabrina Matzke
• Ryan McLeland
• Medical Center Cardiologists, PSC
• Thomas Allan Menendez, DC

• Nursing Facility/Intermediate Care Facility in Sellersburg, IN
• Providers in Sellersburg, IN by specialty
• Nursing Facility/Intermediate Care Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.