Maple Knoll Communities, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAPLE KNOLL COMMUNITIES, INC

Doing business as

Maple Knoll Communities Home Care

Practice address

11100 Springfield Pike
Cincinnati, OH 45246-4112

Phone

(513) 782-2546

Fax

(513) 782-8306

NPI assigned

Nov 24, 2006

Last updated

May 27, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

MAPLE KNOLL COMMUNITIES, INCAs reported in NPPES

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

Authorized official

Name

Mr. Jim Formal

Title

President, Ceo

Phone

(513) 782-2411

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maple Knoll Communities Home Care Doing business as

Part of

Maple Knoll Outreach Services

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1457427304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464112",
            "telephone_number": "513-782-2546",
            "fax_number": "513-782-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 SPRINGFIELD PIKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452464112",
            "telephone_number": "513-782-2546",
            "fax_number": "513-782-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE KNOLL COMMUNITIES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAPLE KNOLL COMMUNITIES, INC",
        "enumeration_date": "2006-11-24",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "FORMAL",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "513-782-2411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0621670",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Knoll Communities Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chandra Manuel, NP
• Betty J Manz, RN, CNP
• Clara Mao
• Maple Knoll Communities Inc
• Maple Knoll Communities Inc (Maple Knoll Village)
• Maple Knoll Outreach Services
• Maple Manor, Inc.
• Kendra Janae Mapp, MA.;LPC
• Lakisha Mapp, RN
• Travis Mapp

• Home Health Agency in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.