Maple Grove Haven LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MAPLE GROVE HAVEN LLC

Practice address

1911 Peppertree LN
Lansing, MI 48912-3726

Phone

(616) 881-6800

NPI assigned

Jun 8, 2026

Organization subpart

No

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

Authorized official

Name

Rutendo GotoNPI 1861325987

Title

Owner

Phone

(616) 881-6800

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rutendo Goto

  • Home Health Agency
  • Lansing, MI
  • NPI 1861325987
  NPD Authorized official

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1215860333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W GRAND RIVER AVE STE A",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 PEPPERTREE LN",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123726",
            "telephone_number": "616-881-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE GROVE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-07",
        "status": "A",
        "authorized_official_last_name": "GOTO",
        "authorized_official_first_name": "RUTENDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-881-6800"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadeen Mansour, MD
• Andre Manuel
• Arisa Manuel
• Phyllis Manuel
• Carrie L Many, LPC, NCC
• Mar-Co Developments
• Andrea Rose Bituin Marasigan
• Hannah Marie Marburg
• Kylee Marcussen, DPT
• Kyoko Marcussen, PHARM. D.

• In Home Supportive Care Agency in Lansing, MI
• Providers in Lansing, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.