Maple Star Nevada

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

FF-125404617 Issued in NV

Legal business name

MAPLE STAR NEVADA

Practice address

8455 Offenhauser Dr
#517
Reno, NV 89511

Phone

(775) 852-8335

NPI assigned

Jun 15, 2011

Organization subpart

Yes

Parent organization

PROVIDENCEAs reported in NPPES

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

Authorized official

Name

Mrs. Cheryl Christina Grimes

Title

Theraputic Foster Parent

Phone

(775) 852-8335

Specialties & licenses 2

Addresses

Part of

Maple Star Nevada LLC

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1942595210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 OFFENHAUSER DR",
            "address_2": "#517",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111752",
            "telephone_number": "775-852-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 OFFENHAUSER DR",
            "address_2": "#517",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-852-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE STAR NEVADA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "THERAPUTIC FOSTER PARENT",
        "authorized_official_telephone_number": "775-852-8335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "FF-125404617",
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NV",
            "license": "GF880321776-0316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maple Star Nevada
• Maple Star Nevada
• Maple Star Nevada
• Maple Star Nevada
• Maple Star Nevada
• Maple Star Nevada LLC
• Mar Von Senior Care
• David Mar, M.D.
• Gabrielle Marangi
• Josephina Marie Marangi

• Community/Behavioral Health Agency in Reno, NV
• Providers in Reno, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.