Maple Springs, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

102056 Issued in UT

Legal business name

MAPLE SPRINGS, LLC

Practice address

1040 Medical Dr
Brigham City, UT 84302-5599

Phone

(435) 723-9100

Fax

(435) 723-9150

NPI assigned

Dec 1, 2011

Organization subpart

No

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

Authorized official

Name

Nicholas Adam Larsen

Title

Administrator

Phone

(435) 723-9100

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1841568128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 MEDICAL DR",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843025599",
            "telephone_number": "435-723-9100",
            "fax_number": "435-723-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MEDICAL DR",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843025599",
            "telephone_number": "435-723-9100",
            "fax_number": "435-723-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE SPRINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "435-723-9100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "102056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Madlock
• Keely Major
• Brian Majors
• Kurt J Mantz
• Andrea Manwaring
• Kelsie Marietti, NP
• John Robert Markeson, M.D.
• Emily Marler
• Abrial Kathryn-Anne Marroquin, CSW
• Nina Marie Marrufo

• Assisted Living Facility in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Assisted Living Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.