NPIMap

Organization Active NPI

Maple Knoll Outreach Services

  • Community/Behavioral Health Agency
  • Cincinnati, OH
National Provider Identifier
1205234572
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1623 Issued in OH
Legal business name
MAPLE KNOLL OUTREACH SERVICES
Practice address
11275 Springfield Pike
Cincinnati, OH 45246-4113
Phone
(513) 984-1234
Fax
(513) 686-1040
NPI assigned
Dec 18, 2014
Organization subpart
Yes
Parent organization
MAPLE KNOLL COMMUNITIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Mr. Joshua L Howard
Title
Director
Phone
(513) 686-1004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1623 OH Primary
Non-emergency Medical Transport (VAN) 343900000X 1623 OH

Addresses

Primary practice location

11275 Springfield Pike
Cincinnati, OH 45246-4113

Mailing address

11275 Springfield Pike
Cincinnati, OH 45246-4113
Phone (513) 984-1234

Other identifiers 1

IdentifierTypeStateIssuer
0790550MedicaidOH

Other names 1

  • formerly Sycamore Senior Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Maple Knoll Communities Inc6 organizations share this tax ID, including this one
Part of
Maple Knoll Communities Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1205234572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11275 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464113",
            "telephone_number": "513-984-1234",
            "fax_number": "513-686-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11275 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464113",
            "telephone_number": "513-984-1234",
            "fax_number": "513-686-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE KNOLL OUTREACH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAPLE KNOLL COMMUNITIES, INC.",
        "enumeration_date": "2014-12-18",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "513-686-1004",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "1623",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "1623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0790550",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "formerly Sycamore Senior Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.