Red Maple Holdings, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

RED MAPLE HOLDINGS, INC

Practice address

3939 Belt Line Rd Ste 150
Addison, TX 75001-5851

Phone

(469) 902-4402

Fax

(469) 466-6265

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Anne Ayeni, RN

Title

Owner/Administrator

Phone

(469) 902-4402

Specialties & licenses 1

Addresses

Other names 1

• Red Maple Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91659

Legal name

RED MAPLE HOLDINGS INC

Doing business as

RED MAPLE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 30, 2023

Last certification

Oct 18, 2023

Organization structure

CorporationProprietary

Incorporated

Oct 11, 2022 in TX

Enrollment address

3939 Belt Line Rd
Ste 150
Addison, TX 75001-5851

Listed as

Red Maple HospiceCCN A91659

Certified

Oct 30, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Charles Ayeni, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
  • NPI 1558785527

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership
• Temitope Adeniyi Ayeni, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
  • NPI 1689968901

  Corporate Director, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Ayeni, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
  • NPI 1558785527
  NPD

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1538877709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 BELT LINE RD STE 150",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015851",
            "telephone_number": "469-902-4402",
            "fax_number": "469-466-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 BELT LINE RD STE 150",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015851",
            "telephone_number": "469-902-4402",
            "fax_number": "469-466-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MAPLE HOLDINGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "AYENI",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "469-902-4402",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Maple Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Red Maple Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Addison, TX
• Providers in Addison, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.