Maplewood Group Afc LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AM230388711 Issued in MI

Legal business name

MAPLEWOOD GROUP AFC LLC

Practice address

11300 Columbia Hwy
Eaton Rapids, MI 48827-9276

Phone

(517) 663-4203

NPI assigned

Aug 27, 2018

Organization subpart

No

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

Authorized official

Name

Raul Presas

Title

Owner - Member

Phone

(517) 927-7996

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1508347642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488270508",
            "telephone_number": "517-663-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 COLUMBIA HWY",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488279276",
            "telephone_number": "517-663-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLEWOOD GROUP AFC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "PRESAS",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "OWNER - MEMBER",
        "authorized_official_telephone_number": "517-927-7996"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AM230388711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.