NPIMap

Organization Active NPI

Maris Grove, Inc.

Doing business as Maris Grove Visiting Nurse Service

  • Home Health Agency
  • Glen Mills, PA
National Provider Identifier
1578708608
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MARIS GROVE, INC.
Doing business as
Maris Grove Visiting Nurse Service
Practice address
200 Maris Grove Way
Glen Mills, PA 19342-3336
Phone
(610) 387-4470
NPI assigned
Dec 3, 2008
Last updated
Jan 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
Ms. Maureen K. Heckler
Title
Executive Director
Phone
(610) 387-4490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

200 Maris Grove Way
Glen Mills, PA 19342-3336

Mailing address

200 Maris Grove Way
Glen Mills, PA 19342-3336
Phone (610) 387-4470

Other names 1

  • Maris Grove Visiting Nurse Service Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578708608. Details of each certification follow.

  • CCN 396840 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 396840

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MARIS GROVE OUTPATIENT REHABILITATION SERVICES
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Oct 18, 2007
Last certification
Dec 12, 2025
Ownership / control type
Voluntary Non-Profit Other Than Church
Facility address
200 Maris Grove Way
Glen Mills, PA 19342

National Provider Directory

National Provider Directory
Tax ID family
Maris Grove Inc3 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": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1578708608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MARIS GROVE WAY",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193423336",
            "telephone_number": "610-387-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARIS GROVE WAY",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193423336",
            "telephone_number": "610-387-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIS GROVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "HECKLER",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-387-4490",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maris Grove Visiting Nurse Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Mills, PA

Sources for this page

Verify at the official NPI Registry.