Maple Springs of Wasilla SNF Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAPLE SPRINGS OF WASILLA SNF HOLDINGS LLC

Doing business as

Maple Springs of Wasilla

Practice address

3265 E Meridian Park Loop
Wasilla, AK 99654-7474

Phone

(907) 841-1217

Fax

(907) 373-1820

NPI assigned

Feb 20, 2019

Organization subpart

No

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

Authorized official

Name

Nathan Clay Dahl

Title

Administrator

Phone

(907) 841-1217

Specialties & licenses 2

Addresses

Other names 1

• Maple Springs of Wasilla Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Skilled nursing facility certification: CCN 025038

Legal name

MAPLE SPRINGS OF WASILLA SNF HOLDINGS LLC

Doing business as

MAPLE SPRINGS OF WASILLA

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 23, 2019

Last certification

Jun 21, 2024

Beds

67

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Maple Springs Management LLC

Organization structure

LLCProprietary

Incorporated

Jul 20, 2017 in AK

Enrollment address

3265 E Meridian Park Loop
Wasilla, AK 99654-7294

Nursing home name

MAPLE SPRINGS OF WASILLA

Affiliated entity

MAPLE SPRINGS LIVING

Listed as

Maple Springs of WasillaCCN 025038 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 23, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6765.1 residents per day on average

Chain

Maple Springs Living3 facilities in the chain

Penalties (3 years)

1Fines totaling $0

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 15

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 3

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
• Ryan H Larsen, MD

  • General Practice Physician
  • Logan, UT
  • NPI 1235224932

  5% Or Greater Indirect Ownership Interest

  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 Palmer SNF Holdings, LLC

  • Skilled Nursing Facility
  • Palmer, AK
  • NPI 1548814718

  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.

• Jessica J Jachimiec, MD

  • Family Medicine Physician
  • Wasilla, AK
  • NPI 1790964195

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1689130189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 E MERIDIAN PARK LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547474",
            "telephone_number": "907-841-1217",
            "fax_number": "907-373-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 E MERIDIAN PARK LOOP",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547474",
            "telephone_number": "907-841-1217",
            "fax_number": "907-373-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE SPRINGS OF WASILLA SNF HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-841-1217"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Springs of Wasilla",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maple Springs of Wasilla",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devon Manning
• Kharlie D Manning
• Steven W Manning, RBT
• Cynthia J Mantey, APNP
• Alesi Manuleleua
• Jennifer Marcelain
• Jack Dylan Marchant, CDCII
• Renee Marchegiani, DO
• Nicole Marden
• Michael Lee Mardres

• Skilled Nursing Facility in Wasilla, AK
• Providers in Wasilla, 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 Jan 6, 2023; 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.