Active NPI
Nicks Maple Home LLC
Doing business as Nicks Maple Home #2
- Assisted Living Facility
- Rialto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- NICKS MAPLE HOME LLC
- Doing business as
- Nicks Maple Home #2
- Practice address
- 1065 W Huff St
Rialto, CA 92376-6826 - Phone
- (909) 440-5252
- NPI assigned
- Jun 9, 2025
- Last updated
- Jun 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Najeh Hamed, ADMIN
- Title
- Ceo
- Phone
- (786) 219-6008
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1065 W Huff St
Rialto, CA 92376-6826
Mailing address
1065 W Huff St
Rialto, CA 92376-6826
Phone (786) 219-6008
Other names 1
- Nicks Maple Home #2
National Provider Directory
National Provider Directory- Tax ID family
- Sunshine Board Care LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Care Home Facility
- Rialto, CA
- NPI 1073085288
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Adult Care Home Facility
- Riverside, CA
- NPI 1689274508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749427200000",
"number": "1942195367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 W HUFF ST",
"city": "RIALTO",
"state": "CA",
"postal_code": "923766826",
"telephone_number": "786-219-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1065 W HUFF ST",
"city": "RIALTO",
"state": "CA",
"postal_code": "923766826",
"telephone_number": "909-440-5252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NICKS MAPLE HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A",
"authorized_official_last_name": "HAMED",
"authorized_official_first_name": "NAJEH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "786-219-6008",
"authorized_official_credential": "ADMIN"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nicks Maple Home #2",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.