Maple Grove Enterprises

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MAPLE GROVE ENTERPRISES

Doing business as

FirstLight HomeCare

Practice address

119 Main St
2ND Floor
Chardon, OH 44024-1231

Phone

(440) 286-1342

NPI assigned

Sep 8, 2011

Organization subpart

No

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

Authorized official

Name

Annette Smith

Title

Owner/President

Phone

(440) 286-1342

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FirstLight HomeCare Doing business as

Locations

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1770864464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241231",
            "telephone_number": "440-286-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAIN ST",
            "address_2": "2ND FLOOR",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241231",
            "telephone_number": "440-286-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE GROVE ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "440-286-1342"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "470652467",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight HomeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayley Malenda, LPC
• Alexa Marie Malnar
• Michelle M Maneage
• Kelly Mangosh, MS, CCC-SLP
• Emma Manning
• Maple Leaf Community Residences, Inc
• Mapleview Operating Company LLC
• Maplewood at Chardon, LLC
• Maplewood Living LLC
• Maplewood Solutions LLC

• Home Health Agency in Chardon, OH
• Providers in Chardon, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.