Maple Grove Nursing Home Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

2054 Issued in ME

Legal business name

MAPLE GROVE NURSING HOME INC

Doing business as

Madigan Estates

Practice address

93 Military St
Houlton, ME 04730-2421

Phone

(207) 532-6593

Fax

(207) 532-4456

NPI assigned

Apr 3, 2007

Last updated

Aug 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jim Brown

Title

Manager

Phone

(207) 532-6593

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• MADIGAN ESTATES Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871614859. Details of each certification follow.

• CCN 205083 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 205083

Legal name

MAPLE GROVE NURSING HOME, INC

Doing business as

MADIGAN ESTATES

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1993

Last certification

Mar 21, 2024

Beds

99

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 1, 1972 in ME

Enrollment address

93 Military St
Houlton, ME 04730-2421

Nursing home name

MADIGAN ESTATES

Listed as

Madigan EstatesCCN 205083 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jan 1, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9996.6 residents per day on average

Penalties (3 years)

1Fines totaling $11,450

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Tax ID family

Maple Grove Nursing Home Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Maple Grove Nursing Home Inc

  • Adult Care Home Facility
  • Houlton, ME
  • NPI 1831428531
  NPD tax ID
• Maple Grove Nursing Home Inc

  • Alzheimer Center (Dementia Center)
  • Houlton, ME
  • NPI 1982932364
  NPD tax ID

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Hassan E Abouleish, MD

  • Internal Medicine Physician
  • Houlton, ME
  • NPI 1255300307

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin M Gallop, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Houlton, ME
  • NPI 1336165356
  NPD (past)
• Solomon Babajide Olabiyi, MD

  • Internal Medicine Physician
  • Houlton, ME
  • NPI 1366734170
  NPD (past)
• Mari-Anne Rivera, ANPC

  • Nurse Practitioner
  • Bangor, ME
  • NPI 1962625186
  NPD (past)

Affiliated clinicians 1

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

• Solomon Babajide Olabiyi, MD

  • Internal Medicine Physician
  • Houlton, ME
  • NPI 1366734170

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1871614859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 MILITARY ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047302421",
            "telephone_number": "207-532-6593",
            "fax_number": "207-532-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MILITARY ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047302421",
            "telephone_number": "207-532-6593",
            "fax_number": "207-532-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE GROVE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-532-6593"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "ME",
            "license": "2054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105630000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADIGAN ESTATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MADIGAN ESTATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Jonathan Lynds, MD
• Sarah Lee Lynds, COTA/L
• Madigan Home Health Care Inc
• Emily Jordan Malone, MA
• Maple Grove Nursing Home Inc
• Maple Grove Nursing Home Inc
• Maps (Stepping Stones)
• Rosalinda M Maraya, MD
• Cassidy Marino, LMT
• Denise Janine Marquis, FNP

• Nursing Facility/Intermediate Care Facility in Houlton, ME
• Providers in Houlton, ME by specialty
• Nursing Facility/Intermediate Care Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.