Maple Valley Nursing Home of Maple City, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

454010 Issued in MI

Legal business name

MAPLE VALLEY NURSING HOME OF MAPLE CITY, INC.

Practice address

1086 W Burdickville Rd
Maple City, MI 49664-8769

Phone

(231) 228-5895

Fax

(231) 228-7512

NPI assigned

May 31, 2005

Last updated

Jan 11, 2022By 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. John M Kasben Sr.

Title

Administrator/Owner/Vice-President

Phone

(231) 228-5895

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144223587. Details of each certification follow.

• CCN 235588 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 235588

Legal name

MAPLE VALLEY NURSING HOME OF MAPLE CITY, INC.

Doing business as

GREAT LAKES THERAPY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 15, 1998

Last certification

Apr 10, 2025

Beds

25

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Enrollment address

1086 W Burdickville Rd
Maple City, MI 49664-8769

Nursing home name

MAPLE VALLEY NURSING HOME

Listed as

Maple Valley Nursing HomeCCN 235588 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Dec 15, 1998

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

2519.2 residents per day on average

Penalties (3 years)

3Fines totaling $119,265

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Mark Langlois, M.D.

  • Family Medicine Physician
  • Frankfort, MI
  • NPI 1295154656

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• April Elizabeth Kurkowski, DO

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1891994026
  NPD (past)
• Mark Langlois, M.D.

  • Family Medicine Physician
  • Frankfort, MI
  • NPI 1295154656
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kelly Anne Covell, D.O.

  • Internal Medicine Physician
  • Traverse City, MI
  • NPI 1225266265

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1144223587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 W BURDICKVILLE RD",
            "city": "MAPLE CITY",
            "state": "MI",
            "postal_code": "496648769",
            "telephone_number": "231-228-5895",
            "fax_number": "231-228-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 W BURDICKVILLE RD",
            "city": "MAPLE CITY",
            "state": "MI",
            "postal_code": "496648769",
            "telephone_number": "231-228-5895",
            "fax_number": "231-228-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE VALLEY NURSING HOME OF MAPLE CITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "KASBEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER/VICE-PRESIDENT",
        "authorized_official_telephone_number": "231-228-5895",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "454010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER ID",
            "identifier": "09960",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1909799",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shari Bernstein
• Jennifer Claridge, CD
• Jodi Ann Garcia, CHW
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• Marcie Lyn Hester, LPC
• Marcie Hester Counseling
• Mary Katherine Niemisto, MSW
• Gina Sellinger, MPH, RDN

• Skilled Nursing Facility in Maple City, MI
• Providers in Maple City, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.