Maple Ridge Living Center of Cadillac LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAPLE RIDGE LIVING CENTER OF CADILLAC LLC

Practice address

9072 S Mackinaw TRL
Cadillac, MI 49601-8426

Phone

(231) 775-3710

NPI assigned

May 25, 2026

Last updated

May 25, 2026By 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

Sandra Bogart

Title

Cfo

Phone

(231) 920-0992

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1205767860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9072 S MACKINAW TRL",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9072 S MACKINAW TRL",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018426",
            "telephone_number": "231-775-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE RIDGE LIVING CENTER OF CADILLAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-24",
        "status": "A",
        "authorized_official_last_name": "BOGART",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "231-920-0992"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackinaw Trail Health Associates P C
• Mackinaw Trail Health Associates, P.C.
• Jacob Ian Maclean, DO
• Amanda Marie Maga, LLMSW
• Niladri Mal, M.D.
• Tekoa Marshall
• Martin S Dubravec MD, PC
• Ellen Evelyn Maxwell, LLPC
• Juddee Anne Maxwell, MA, LLP, NCP, LMSW
• Kayla McCaig, OD

• Assisted Living Facility in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; 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.