Maple Springs of Palmer SNF Holdings, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAPLE SPRINGS OF PALMER SNF HOLDINGS, LLC

Practice address

12130 E Maple Springs Way
Palmer, AK 99645

Phone

(907) 841-1217

Fax

(907) 373-1820

NPI assigned

Jul 26, 2019

Organization subpart

No

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

Authorized official

Name

Nicholas Adam Larsen

Title

Ceo

Phone

(435) 754-4034

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Skilled nursing facility certification: CCN 025039

Legal name

MAPLE SPRINGS OF PALMER SNF HOLDINGS LLC

Doing business as

MAPLE SPRINGS OF PALMER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 29, 2020

Last certification

Mar 27, 2025

Beds

67

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Nov 7, 2017 in AK

Enrollment address

12130 E Maple Springs Way
Palmer, AK 99645-9648

Nursing home name

MAPLE SPRINGS OF PALMER

Affiliated entity

MAPLE SPRINGS LIVING

Listed as

Maple Springs of PalmerCCN 025039

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 29, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6755.0 residents per day on average

Chain

Maple Springs Living3 facilities in the chain

Penalties (3 years)

2Fines totaling $46,594

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 10

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.

• Jessica J Jachimiec, MD

  • Family Medicine Physician
  • Wasilla, AK
  • NPI 1790964195

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Maple Springs Management, LLC

  • Skilled Nursing Facility
  • North Logan, UT
  • NPI 1366997819

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

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

• Maple Springs of Wasilla SNF Holdings LLC

  • Skilled Nursing Facility
  • Wasilla, AK
  • NPI 1689130189

  Bronshield LLC, Larmed, LLC, Maple Springs Management LLC, Maple Springs of Matsu Holdings, LLC, Morpheus Universe, Pistis Mercury

  CMS ownership
• Maple Springs Management, LLC

  • Skilled Nursing Facility
  • North Logan, UT
  • NPI 1366997819

  Bronshield LLC, Morpheus Universe, Pistis Mercury

  CMS ownership

Practitioners 1

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

• Jessica J Jachimiec, MD

  • Family Medicine Physician
  • Wasilla, AK
  • NPI 1790964195
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Shane Mozingo

  • Family Nurse Practitioner
  • North Logan, UT
  • NPI 1295347474

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1548814718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 2200 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843411865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12130 E MAPLE SPRINGS WAY",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-841-1217",
            "fax_number": "907-373-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE SPRINGS OF PALMER SNF HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-754-4034"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Rose Maher
• Ryan Maher, DNP, CRNA
• Srikanth Malladi, MD
• Ronald Mangelsdorf, CSB
• Cathy Mann
• Casie Marang
• Kaliann Martin
• Lina Martin
• Alympi Martusheff, LMT
• Benjamin D Marvin, MD

• Skilled Nursing Facility in Palmer, AK
• Providers in Palmer, AK by specialty
• Skilled Nursing Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.