NPIMap

Organization Active NPI

Maple Manor Rehab Center of Novi Inc.

  • Skilled Nursing Facility
  • Novi, MI
National Provider Identifier
1851738652
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
634595 Issued in MI
Legal business name
MAPLE MANOR REHAB CENTER OF NOVI INC.
Practice address
31215 Novi Rd
Novi, MI 48377
Phone
(248) 626-1114
Fax
(248) 626-3918
NPI assigned
Jun 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
Marcus Evangelista
Title
Attorney and Cfo
Phone
(248) 320-9114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 634595 MI Primary

Addresses

Primary practice location

31215 Novi Rd
Novi, MI 48377

Mailing address

7071 Orchard Lake Rd
Suite 333
West Bloomfield, MI 48322-3613
Phone (248) 626-1114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130807000817 MI Part A Provider - Skilled Nursing Facility 8628210457 Practice locations: Novi, MI

Skilled nursing facility certification: CCN 235669

Legal name
MAPLE MANOR REHAB CENTER OF NOVI INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 16, 2014
Last certification
Mar 6, 2025
Beds
72
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
31215 Novi Rd
Novi, MI 48377-4515
Nursing home name
MAPLE MANOR REHAB CENTER OF NOVI INC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Maple Manor Rehab Center of Novi IncCCN 235669
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
May 16, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7257.7 residents per day on average
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2068074Maple Manor Rehab Center-Novi Inc31215 Novi Road, Novi, MI 48377Certificate of waiverOct 27, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stella S Evangelista Individual 5% Or Greater Direct Ownership InterestDirector Sep 10, 2010 90%
Operational/Managerial Control Sep 8, 2010
Adp of the SNF Sep 8, 2010
Marcus S Evangelista Individual 5% Or Greater Direct Ownership Interest Sep 10, 2010 10%
Corporate OfficerChief Financial Officer Sep 8, 2010 100%
Operational/Managerial Control Sep 8, 2010

Practitioners & affiliated clinicians

Practitioners 3

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

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1851738652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7071 ORCHARD LAKE RD",
            "address_2": "SUITE 333",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223613",
            "telephone_number": "248-626-1114",
            "fax_number": "248-626-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31215 NOVI RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-626-1114",
            "fax_number": "248-626-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE MANOR REHAB CENTER OF NOVI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "ATTORNEY AND CFO",
        "authorized_official_telephone_number": "248-320-9114"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "634595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.