Organization Active NPI

Symphony Maple Crest LLC

Doing business as Maple Crest Care Centre

  • Skilled Nursing Facility
  • Belvidere, IL
National Provider Identifier
1427325778
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0044172 Issued in IL
Legal business name
SYMPHONY MAPLE CREST LLC
Doing business as
Maple Crest Care Centre
Practice address
4452 Squaw Prairie Rd
Belvidere, IL 61008-8801
Phone
(815) 547-6377
Fax
(815) 547-3857
NPI assigned
Nov 30, 2011
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Ms. Frances Meehan
Title
Attorney
Phone
(312) 521-2467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0044172 IL Primary

Addresses

Primary practice location

4452 Squaw Prairie Rd
Belvidere, IL 61008-8801

Mailing address

4452 Squaw Prairie Rd
Belvidere, IL 61008-8801
Phone (815) 547-6377

Other names 1

  • Maple Crest Care Centre Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120326000574 IL Part A Provider - Skilled Nursing Facility 0345400537 Practice locations: Belvidere, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427325778. Details of each certification follow.

Skilled nursing facility certification: CCN 145990

Legal name
SYMPHONY MAPLE CREST LLC
Doing business as
MAPLE CREST CARE CENTRE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 1, 2000
Last certification
Nov 20, 2024
Beds
86
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Symphany Care Network
Most recent change of ownership
Jan 1, 2012
Organization structure
LLCProprietary
Incorporated
Nov 22, 2011 in IL
Enrollment address
4452 Squaw Prairie Rd
Belvidere, IL 61008-8801
Nursing home name
SYMPHONY MAPLE CREST
Affiliated entity
SYMPHONY CARE NETWORK

Care Compare: Nursing home

Medicare Care Compare
Listed as
Symphony Maple CrestCCN 145990 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 1, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8668.8 residents per day on average
Chain
Symphony Care Network7 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
7Fines totaling $409,524

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Renee Woods Individual W-2 Managing EmployeeAdministrator Jan 1, 2017
John McAfee Individual W-2 Managing EmployeeDirector of Nursing Jan 1, 2017
Willow Delta Trust Organization, Lincolnwood, IL 5% Or Greater Indirect Ownership Interest Jan 1, 2019 9.7%
Symag Holdings LLC Organization, Lincolnwood, IL LLC, Holding company 5% Or Greater Indirect Ownership Interest Nov 22, 2011 43%
David Hartman Individual 5% Or Greater Indirect Ownership Interest Nov 22, 2011 28.8%
Drake Louis Enterprise, LLC Organization, Lincolnwood, IL LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2019 28.8%
Debra Hartman Individual 5% Or Greater Indirect Ownership Interest Nov 22, 2011 25%
Symphony Healthcare LLC Organization, Lincolnwood, IL LLC, Holding company, For-profit 5% Or Greater Direct Ownership Interest Nov 22, 2011 99%
Symphony ML LLC Organization, Lincolnwood, IL LLC, Holding company 5% Or Greater Indirect Ownership Interest Nov 22, 2011 99.99%
Midcap Funding IV Trust Organization, Bethesda, MD Financial institution 5% Or Greater Security Interest Aug 21, 2018
Symphony Monarch Holdings, LLC Organization, Lincolnwood, IL LLC, Holding company 5% Or Greater Indirect Ownership Interest Nov 22, 2011 57%

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1427325778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 SQUAW PRAIRIE RD",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610088801",
            "telephone_number": "815-547-6377",
            "fax_number": "815-547-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 SQUAW PRAIRIE RD",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610088801",
            "telephone_number": "815-547-6377",
            "fax_number": "815-547-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMPHONY MAPLE CREST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "312-521-2467",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0044172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Maple Crest Care Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belvidere, IL

Sources for this page

Verify at the official NPI Registry.