Organization Active NPI

Nicks Maple Home LLC

Doing business as Nicks Maple Home #2

  • Assisted Living Facility
  • Rialto, CA
National Provider Identifier
1942195367
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Najeh Hamed, ADMINNPI 1689274508
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunshine Board Care LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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.

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.

Verify at the official NPI Registry.