Thi of Ohio at Maple View LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

6300 Issued in OH

Legal business name

THI OF OHIO AT MAPLE VIEW LLC

Doing business as

Maple View Manor

Practice address

430 South Maple St
Bainbridge, OH 45612

Phone

(740) 634-3301

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Matthew Box

Title

Evp

Phone

(410) 773-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maple View Manor Doing business as

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174552392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SOUTH MAPLE ST",
            "city": "BAINBRIDGE",
            "state": "OH",
            "postal_code": "45612",
            "telephone_number": "740-634-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF OHIO AT MAPLE VIEW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOX",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "410-773-1000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "6300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2349177",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple View Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Stone
• Rana Stulley, RN
• Colin Swackhammer
• Cheryl A Taylor
• Hayley Taylor
• Courtney Thomas
• Summer A Thompson
• Victor Townsend
• Trusted Health Care, Inc
• Angelo Turner, QMHS

• Skilled Nursing Facility in Bainbridge, OH
• Providers in Bainbridge, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.