Maple LTC Group, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0482 Issued in NC

Legal business name

MAPLE LTC GROUP, LLC

Doing business as

Cornerstone Nursing and Rehabilitation Center

Practice address

711 Susan Tart Rd
Dunn, NC 28334-5557

Phone

(910) 892-8843

Fax

(910) 891-1945

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Karen G McDaniel

Title

President

Phone

(252) 523-9094

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Cornerstone Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1831125335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 948",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283350948",
            "telephone_number": "910-892-8843",
            "fax_number": "910-891-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SUSAN TART RD",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345557",
            "telephone_number": "910-892-8843",
            "fax_number": "910-891-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LTC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-523-9094",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805284",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806627",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3436122",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3445325",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NC",
            "identifier": "0093T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magnolia Living Center, LLC
• Jose F Mahiquez, PA
• Alberta Maloof, PTA
• David C Mapile, CRNA
• Maple LTC Group, LLC (Cornerstone Nursing and Rehabilitation Center)
• Maria Medical Center, PLLC
• Josette Maria, MD
• Michael W. Martin, LCSW
• Joseph Timothy Martinez, PHARMD
• Marys Way

• Skilled Nursing Facility in Dunn, NC
• Providers in Dunn, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.