Maple Manor Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

00916 Issued in MN

Legal business name

MAPLE MANOR NURSING HOME

Practice address

1875 19TH St NW
Rochester, MN 55901-1633

Phone

(507) 282-9449

Fax

(507) 287-0552

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Patrick A Blum

Title

Administrator

Phone

(507) 282-9449

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831192053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 19TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011633",
            "telephone_number": "507-282-9449",
            "fax_number": "507-287-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 19TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011633",
            "telephone_number": "507-282-9449",
            "fax_number": "507-287-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE MANOR NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "507-282-9449",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "00916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley J Manz
• Alan M Manzardo, APRN, FNP, DNP
• Elad Maor, M.D. PH.D.
• Melissa Dawn Mapes
• Maple Manor Nursing and Rehab LLC
• Emma Margaret Mara
• Jill E Maraganore, PT
• Nicolas Ernest Maragos, M.D.
• Rosalyn Isam Marar, MD
• Christopher Ryan Marcellino, M.D.

• Skilled Nursing Facility in Rochester, MN
• Providers in Rochester, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.