NPIMap

Organization Active NPI

Maple LTC Group, LLC

Doing business as Cornerstone Nursing and Rehabilitation Center

  • Nursing Facility/Intermediate Care Facility
  • Dunn, NC
National Provider Identifier
1477738565
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH0482 Issued in NC
Legal business name
MAPLE LTC GROUP, LLC
Doing business as
Cornerstone Nursing and Rehabilitation Center
Practice address
711 Susan Tart Rd
Dunn, NC 28334-5557
Phone
(910) 892-8843
Fax
(910) 891-1945
NPI assigned
Jan 8, 2008
Last updated
May 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Mr. Norwood Randolph Uzzell
Title
President
Phone
(252) 523-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH0482 NC Primary

Addresses

Primary practice location

711 Susan Tart Rd
Dunn, NC 28334-5557

Mailing address

PO Box 948
Dunn, NC 28335-0948
Phone (910) 892-8843

Other identifiers 2

IdentifierTypeStateIssuer
7805284MedicaidNC
7806627MedicaidNC

Other names 1

  • Cornerstone Nursing and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ability Network3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1477738565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 948",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283350948",
            "telephone_number": "910-892-8843",
            "fax_number": "910-891-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SUSAN TART RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345557",
            "telephone_number": "910-892-8843",
            "fax_number": "910-891-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LTC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "UZZELL",
        "authorized_official_first_name": "NORWOOD",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-523-9094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805284",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806627",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunn, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.