Maplewood Supportive Living, Inc

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

AS630295056 Issued in MI

Legal business name

MAPLEWOOD SUPPORTIVE LIVING, INC

Practice address

21755 Maplewood Dr
Southfield, MI 48033-3601

Phone

(734) 612-5957

Fax

(734) 956-4155

NPI assigned

Dec 12, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Dorothy Strong-Stokes, LMSW, CBIS, C-ASWCM

Title

President-Ceo

Phone

(734) 612-5957

Specialties & licenses 2

Addresses

Tax ID family

Maplewood Supportive Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Maplewood Supportive Living

  • Assisted Living Facility
  • Southfield, MI
  • NPI 1053862615
  NPD tax ID

Locations

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1245508761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37637 5 MILE RD",
            "address_2": "#223",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541543",
            "telephone_number": "734-612-5957",
            "fax_number": "734-956-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21755 MAPLEWOOD DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333601",
            "telephone_number": "734-612-5957",
            "fax_number": "734-956-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD SUPPORTIVE LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "STRONG-STOKES",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "734-612-5957",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW, CBIS, C-ASWCM"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": "AS630295056",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS630295056",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafik E Mansour, PA
• Wafaa Mansour, MD
• Yousif S. Mansour, M.D.
• Map Dental PLLC
• Maplewood Supportive Living
• Jaclyn Mapley
• Alicia A Marabanian, CRNA
• Marbell Dialysis LLC (Southfield Home Training)
• Marc D. Meissner , MD, CM, PLLC
• Marc S Arnkoff M D and Gregory L. Weigler D O P C

• Physical Disabilities Residential Treatment Facility in Southfield, MI
• Providers in Southfield, MI by specialty
• Physical Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.