Organization Active NPI

Maple Manor, Inc.

  • Skilled Nursing Facility
  • Cincinnati, OH
National Provider Identifier
1619963659
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
520022 Issued in OH
Legal business name
MAPLE MANOR, INC.
Practice address
5501 Verulam Ave
Cincinnati, OH 45213-2417
Phone
(513) 631-1310
Fax
(513) 631-1328
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen Jamison
Title
President
Phone
(513) 631-1310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 520022 OH Primary

Addresses

Primary practice location

5501 Verulam Ave
Cincinnati, OH 45213-2417

Mailing address

5501 Verulam Ave
Cincinnati, OH 45213-2417
Phone (513) 631-1310

Other identifiers 2

IdentifierTypeStateIssuer
2483209MedicaidOH
5210820001OtherOHDME

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619963659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 VERULAM AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132417",
            "telephone_number": "513-631-1310",
            "fax_number": "513-631-1328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 VERULAM AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132417",
            "telephone_number": "513-631-1310",
            "fax_number": "513-631-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-631-1310"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "520022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2483209",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5210820001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.