Maple Winds Healthcare and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAPLE WINDS HEALTHCARE AND REHABILITATION CENTER, LLC

Practice address

4112 Springhill Rd
Portage, PA 15946-7402

Phone

(814) 736-6000

NPI assigned

Mar 16, 2017

Organization subpart

No

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

Authorized official

Name

Ephram Lahasky

Title

Member

Phone

(646) 772-3668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Skilled nursing facility certification: CCN 396088

Legal name

MAPLE WINDS HEALTHCARE AND REHABILITATION CENTER, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 11, 2003

Last certification

Jun 5, 2024

Beds

50

Ownership / control type

Limited Liability Corporation

Multi-facility organization

MJ Healthcare

Organization structure

CorporationProprietary

Incorporated

Jun 8, 2016 in PA

Enrollment address

4112 Spring Hill Road
Portage, PA 15946-7402

Nursing home name

MAPLE WINDS HEALTHCARE AND REHABILITATION, LLC

Affiliated entity

MB HEALTHCARE

Listed as

Maple Winds Healthcare and Rehabilitation, LLCCCN 396088 · All quality measures

Overall star rating

3 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 11, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5042.5 residents per day on average

Chain

MB Healthcare12 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Craig H Fockler, DO

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1104820687

  Adp of the SNF

  CMS ownership

Practitioners 2

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

• Charles Wilbur Stotler, MD

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1114998333
  NPD (past)
• Annie Myowin Chang-Burns, M.D.

  • Internal Medicine Physician
  • Kingman, AZ
  • NPI 1427048008
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Craig H Fockler, DO

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1104820687

  Nursing home

  Care Compare affiliation
• Charles Wilbur Stotler, MD

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1114998333

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1346781820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 W HAWTHORNE AVE",
            "address_2": "SUITE 508",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 SPRINGHILL RD",
            "city": "PORTAGE",
            "state": "PA",
            "postal_code": "159467402",
            "telephone_number": "814-736-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE WINDS HEALTHCARE AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "LAHASKY",
        "authorized_official_first_name": "EPHRAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "646-772-3668"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Long, OTR/L
• Joshua Thomas Madison, PT
• Mainline CPL, LLC
• Chelsea Lyn Maloskey, M.S., CCC-SLP
• Maple Winds Care Center Co. LLC
• Thomas Edward McCabe, PTA
• Tiffany McCoy, DPT
• Ashley Nichole McGough, M.S., CCC-SLP
• Kristen Marie McGough, PHARMD
• Nedward B;Aine Moore III, BA

• Skilled Nursing Facility in Portage, PA
• Providers in Portage, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.