Maple LTC Group, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

NH0472 Issued in NC

Legal business name

MAPLE LTC GROUP, LLC

Practice address

1170 Linkhaw Rd
Lumberton, NC 28358-2524

Phone

(910) 671-1163

Fax

(910) 671-1448

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Gale Boice

Title

Cfo

Phone

(252) 523-9094

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Highland Acres Nursing and Rehabilitation Center Doing business as

Tax ID family

Ability Network3 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 LTC Group, LLC

  • Nursing Facility/Intermediate Care Facility
  • Dunn, NC
  • NPI 1477738565
  NPD tax ID
• Maple LTC Group, LLC

  • Skilled Nursing Facility
  • Jacksonville, NC
  • NPI 1558393835
  NPD tax ID

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1962686444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 HIGHWAY 258N",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285047208",
            "telephone_number": "252-523-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 LINKHAW RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582524",
            "telephone_number": "910-671-1163",
            "fax_number": "910-671-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE LTC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "BOICE",
        "authorized_official_first_name": "GALE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "252-523-9094"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "NH0472",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0472",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7806630",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805285",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Acres Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highland Acres Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mama'S Touch Home Care Services
• Manning Home Care
• Ronnie Daniel Mantilla, M.D.
• Angelo Mark Manuele, DO
• Maple LTC Group, LLC
• Steven K Mark, D.M.D.
• Marshirl Locklear-FNP PLLC
• April Hall Martin, P.A.
• Charlotte Tatum Martin
• Cynthia Smith Martin

• All providers in Lumberton, NC
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.