Maple Specialized Residential Services

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

MAPLE SPECIALIZED RESIDENTIAL SERVICES

Practice address

1132 E Maple Ave
Grand Blanc, MI 48507-4108

Phone

(833) 478-9464

Fax

(810) 462-1093

NPI assigned

Feb 2, 2026

Organization subpart

No

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

Authorized official

Name

Breanna Moslander

Title

HR Manager

Phone

(833) 478-9464

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1740130335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 S DYE RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071078",
            "telephone_number": "833-478-9464",
            "fax_number": "810-462-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 E MAPLE AVE",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "485074108",
            "telephone_number": "833-478-9464",
            "fax_number": "810-462-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE SPECIALIZED RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "MOSLANDER",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "833-478-9464"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruchin Shaileshkumar Mandiwala, DDS
• James Victor Mangan, LPC
• Jaspreet Mann, M.D.
• Stephen Eugene Manning, DO
• Jason Mansoor
• Steven M Marchetta, DO
• Paul J Marcinkoski, DPT
• Monir Radwan Mardini, MD
• Divine Joi Mares
• Dennis Michael Marien, PA

• Community Health Worker in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Community Health Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.