Active NPI
Maple Leaf Community Residences, Inc
- Voluntary or Charitable Agency
- Chardon, OH
National Provider Identifier
1184493256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- MAPLE LEAF COMMUNITY RESIDENCES, INC
- Practice address
- 200 Claridon Rd
Chardon, OH 44024-1409 - Phone
- (440) 279-4444
- NPI assigned
- Dec 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Clemson
- Title
- Executive Director
- Phone
- (440) 279-4444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
200 Claridon Rd
Chardon, OH 44024-1409
Mailing address
200 Claridon Rd
Chardon, OH 44024-1409
Phone (440) 279-4444
National Provider Directory
National Provider DirectoryLocations
200 Claridon Rd
Chardon, OH 44024
Phone (440) 279-4444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703808000000",
"number": "1184493256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CLARIDON RD",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241409",
"telephone_number": "440-279-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CLARIDON RD",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241409",
"telephone_number": "440-279-4444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAPLE LEAF COMMUNITY RESIDENCES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-29",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A",
"authorized_official_last_name": "CLEMSON",
"authorized_official_first_name": "SARA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "440-279-4444"
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.