NPIMap

Organization Active NPI

Maple Avenue Operating Company, LLC

Doing business as Cypress Valley Center for Nursing and Rehabilitation

  • Skilled Nursing Facility
  • Reidsville, NC
National Provider Identifier
1689447518
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MAPLE AVENUE OPERATING COMPANY, LLC
Doing business as
Cypress Valley Center for Nursing and Rehabilitation
Practice address
543 Maple Ave
Reidsville, NC 27320-4627
Phone
(336) 342-1382
NPI assigned
Nov 2, 2023
Last updated
Nov 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Yosef Emanuel
Title
Member
Phone
(917) 745-7945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

543 Maple Ave
Reidsville, NC 27320-4627

Mailing address

543 Maple Ave
Reidsville, NC 27320-4627
Phone (336) 342-1382

Other names 1

  • Cypress Valley Center for Nursing and Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250203002976 NC Part A Provider - Skilled Nursing Facility 4284164492 Practice locations: Reidsville, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689447518. Details of each certification follow.

Skilled nursing facility certification: CCN 345227

Legal name
MAPLE AVENUE OPERATING COMPANY LLC
Doing business as
CYPRESS VALLEY CENTER FOR NURSING AND REHABILITATION
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 15, 1982
Last certification
Jun 5, 2025
Beds
110
Ownership / control type
Corporation
Multi-facility organization
Alliance Health Group
Most recent change of ownership
Jun 1, 2018
Organization structure
LLCProprietary
Incorporated
Oct 18, 2023 in NC
Enrollment address
543 Maple Ave
Reidsville, NC 27320-4627
Nursing home name
CYPRESS VALLEY CENTER FOR NURSING AND REHABILITATION
Affiliated entity
ALLIANCE HEALTH GROUP

Care Compare: Nursing home

Medicare Care Compare
Listed as
Cypress Valley Center for Nursing and RehabilitatiCCN 345227 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Oct 15, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
110104.5 residents per day on average
Chain
Alliance Health Group12 facilities in the chain
Penalties (3 years)
1Fines totaling $9,770

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0239194Maple Avenue Operating Company, LLC543 Maple Avenue, Reidsville, NC 27320Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alignment Holdco LLC Organization, Greensboro, NC Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
Virginia M Stewart Individual Adp of the SNF Aug 1, 2024
Coalition Group LLC Organization, Lawrence, NY Created for acquisition, LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Aug 1, 2024 100%
Yosef Emanuel Individual 5% Or Greater Indirect Ownership InterestCeo Aug 1, 2024 100%
Corporate OfficerCeo Aug 1, 2024
Heather Renee Halla Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024

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 11

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

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1689447518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 MAPLE AVE",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273204627",
            "telephone_number": "336-342-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 MAPLE AVE",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273204627",
            "telephone_number": "336-342-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE AVENUE OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "EMANUEL",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-745-7945"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Valley Center for Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.