Organization Active NPI

Morrill Place Operations LLC

Doing business as Maplewood Rehabilitation and Nursing

  • Skilled Nursing Facility
  • Amesbury, MA
National Provider Identifier
1598598229
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MORRILL PLACE OPERATIONS LLC
Doing business as
Maplewood Rehabilitation and Nursing
Practice address
6 Morrill PL
Amesbury, MA 01913-3502
Phone
(978) 388-3500
NPI assigned
Aug 20, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Yisroel C LevineNPI 1174222590
Title
Managing Member
Phone
(248) 635-4650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6 Morrill PL
Amesbury, MA 01913-3502

Mailing address

24361 Greenfield Rd Ste 208I
Southfield, MI 48075-3165
Phone (248) 635-4650

Other names 1

  • Maplewood Rehabilitation and Nursing Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241203003463 MA Part A Provider - Skilled Nursing Facility 4688100472 Practice locations: Amesbury, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598598229. Details of each certification follow.

Skilled nursing facility certification: CCN 225229A

Legal name
MORRILL PLACE OPERATIONS LLC
Doing business as
MAPLEWOOD CENTER
Organization structure
LLCProprietary
Enrollment address
6 Morrill PL
Amesbury, MA 01913-3502
Nursing home name
MAPLEWOOD CENTER

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Nelson K Aweh Individual Adp of the SNF Jan 3, 2025
Yisroel C Levine Individual 5% Or Greater Indirect Ownership Interest Mar 15, 2024 55%
Operational/Managerial Control Jan 3, 2025
Adp of the SNF Jan 3, 2025
Zenith Care LLC Organization, Southfield, MI LLC, Management services company Operational/Managerial Control Jan 3, 2025
Adp of the SNF Jan 3, 2025
Individual Adp of the SNF Jan 3, 2025
Organization, Valley Stream, NY LLC Adp of the SNF Jan 3, 2025
Yochanan Ishakis Individual 5% Or Greater Indirect Ownership Interest Mar 15, 2024 45%
Adp of the SNF Jan 3, 2025
Celtic Bank Corporation Organization, Salt Lake City, UT Financial institution 5% Or Greater Mortgage Interest Sep 3, 2024 85%
Organization, Amesbury, MA LLC Adp of the SNF Jan 3, 2025
Ma SNF Holdings LLC Organization, Southfield, MI Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 15, 2024 100%
Adp of the SNF Jan 3, 2025
Michael Takesian Individual Operational/Managerial Control Jan 3, 2025
Adp of the SNF Jan 3, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1598598229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24361 GREENFIELD RD STE 208I",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753165",
            "telephone_number": "248-635-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MORRILL PL",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019133502",
            "telephone_number": "978-388-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRILL PLACE OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "YISROEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "248-635-4650"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplewood Rehabilitation and Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amesbury, MA

Sources for this page

Verify at the official NPI Registry.