Maple Shade Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAPLE SHADE HEALTHCARE LLC

Doing business as

Maple Shade Wellness and Recovery

Practice address

794 N Forklanding Rd
Maple Shade, NJ 08052-1049

Phone

(856) 779-9333

Fax

(856) 779-1317

NPI assigned

Nov 14, 2023

Last updated

Nov 14, 2023By 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

Abe Phillip

Title

Member

Phone

(877) 567-0402

Specialties & licenses 3

Addresses

Other names 1

• Maple Shade Wellness and Recovery Doing business as

Locations

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1205600756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 HERMAN RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273081",
            "telephone_number": "877-567-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 N FORKLANDING RD",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080521049",
            "telephone_number": "856-779-9333",
            "fax_number": "856-779-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE SHADE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "PHILLIP",
        "authorized_official_first_name": "ABE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "877-567-0402"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Shade Wellness and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maple Shade Apothecary Inc
• Maple Shade Apothecary Inc
• Maple Shade Board of Education
• Maple Shade First Aid Squad Inc
• Maple Shade Foot and Ankle Specialists, LLC
• Charles Micheal McCabe, D.C.
• Kathryn McIntosh
• Merakey New Jersey
• Merakey New Jersey
• Multi-Cultural Learning Center and Therapeutic Services Inc.

• Skilled Nursing Facility in Maple Shade, NJ
• Providers in Maple Shade, NJ by specialty
• Skilled Nursing Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.