NPIMap

Organization Active NPI

Maze Services LLC

  • Assisted Living Facility
  • Manitowoc, WI
National Provider Identifier
1780528232
Registry record updated Apr 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MAZE SERVICES LLC
Practice address
609 Marshall St
Manitowoc, WI 54220-5333
Phone
(920) 905-3584
NPI assigned
Apr 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2026

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

Authorized official

Name
Sheana BlackmonNPI 1639013170
Title
Owner/Operator
Phone
(920) 905-3584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

609 Marshall St
Manitowoc, WI 54220-5333

Mailing address

609 Marshall St
Manitowoc, WI 54220-5333

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777161600000",
    "number": "1780528232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 MARSHALL ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MARSHALL ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542205333",
            "telephone_number": "920-905-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "SHEANA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "920-905-3584"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.