Maplewood at Chardon, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAPLEWOOD AT CHARDON, LLC

Practice address

12350 Bass Lake Rd
Chardon, OH 44024-8336

Phone

(440) 285-3300

Fax

(440) 286-1024

NPI assigned

Mar 22, 2017

Organization subpart

No

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

Authorized official

Name

Gregory D Smith

Title

Manager

Phone

(203) 557-4777

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1366973349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GORHAM IS",
            "address_2": "SUITE 100",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803217",
            "telephone_number": "203-557-4777",
            "fax_number": "203-557-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 BASS LAKE RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440248336",
            "telephone_number": "440-285-3300",
            "fax_number": "440-286-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD AT CHARDON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-557-4777"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Mangosh, MS, CCC-SLP
• Emma Manning
• Maple Grove Enterprises
• Maple Leaf Community Residences, Inc
• Mapleview Operating Company LLC
• Maplewood Living LLC
• Maplewood Solutions LLC
• Marc Glassman Inc
• Tamara Lynn Marcarelli
• Isabelle Marinchick

• Assisted Living Facility in Chardon, OH
• Providers in Chardon, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.