Organization Active NPI

Maple Leaf Community Residences, Inc

  • Voluntary or Charitable Agency
  • Chardon, OH
National Provider Identifier
1184493256
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
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

Updated by the provider on Dec 29, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.