MAPLE GROVE SENIOR LIVING (NPI# 1003022963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003022963 |
| Entity Type | Organization |
| Organization Name | MAPLE GROVE SENIOR LIVING |
| Other Organization Name | MAPLE GROVE SENIOR LIVING |
| Practice Address |
1917 S 18th St Centerville IA 52544-3136 |
| Practice Telephone | 6418562757 |
| Practice Fax Number | 6418562762 |
| Mailing Telephone | 6418562757 |
| Mailing Fax Number | 6418562762 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JASON VANDERVEER (ADMINISTRATOR) |
| Authorized Official Telephone | 6418562757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | S0088 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0262576 | 05 |
| Other Name | Type Code |
|---|---|
| Maple Grove Senior Living | Doing Business As Name - Organization |
| Street Address |
1917 S 18TH ST |
| City | CENTERVILLE |
| State | IA |
| Zip Code | 52544-3136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053651166 | Amy Spencer | Pharmacist | 609 N. 18th Street, Centerville, IA 52544 | 2013-02-26 |
| 1710253497 | Caregivers Home Health, LLC | Home Health | 19999 Saint Josephs Drive, Centerville, IA 52544 | 2012-03-28 |
| 1558529206 | Mercy Medical Center-centerville | Clinic/Center | 19876 St. Joseph's Drive, Centerville, IA 52544 | 2008-05-29 |
| 1205023868 | Mercy Medical Center-centerville | Home Health | 1 St. Joseph's Drive, Centerville, IA 52544 | 2007-09-27 |
| 1043414394 | Appanoose Community Care Services | Home Health | 19890 St. Joseph's Drive, Centerville, IA 52544 | 2007-06-12 |
| 1659591816 | The Continental At St. Joseph's | Assisted Living Facility | 19999 St. Joseph's Drive, Centerville, IA 52544 | 2007-04-27 |
| 1255456315 | Kirk & Gordy Associates, LLC | Clinic/Center | 415 and A Half North Haynes, Centerville, IA 52544 | 2007-03-20 |
| 1114087574 | New Focus Inc | Clinic/Center | 102 W Washington, New Focus Inc, Centerville, IA 52544 | 2006-12-08 |
| 1134169030 | Ron Michael Harshman | Dentist | 501 W Jackson St, Centerville, IA 52544 | 2006-06-08 |
| 1700835865 | State University of Iowa | Family Medicine | 19876 St. Joseph Drive, Centerville, IA 52544 | 2006-05-08 |
| Find all providers in zip 52544 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508267659 | Homestead of Centerville Operations LLC | Assisted Living Facility | 19999 Saint Joseph Dr, Centerville, IA 52544-9032 | 2014-09-09 |
| 1649690165 | Cherry Creek Assisted Living, LLC | Assisted Living Facility | 451 Rawlins Cir, Centerville, UT 84014-2104 | 2014-04-23 |
| 1275962276 | Kvd Care | Assisted Living Facility | 41 E Center St, Centerville, UT 84014-2244 | 2013-11-11 |
| 1588843395 | Lorant Steve Bodo | Assisted Living Facility | 463 West Rawlins Circle, Centerville, UT 84014 | 2007-10-29 |
| 1659591816 | The Continental At St. Joseph's | Assisted Living Facility | 19999 St. Joseph's Drive, Centerville, IA 52544 | 2007-04-27 |
| 1659435113 | Elder Care, LLC | Assisted Living Facility | 71 E Center St, Centerville, UT 84014-2244 | 2006-12-20 |
| 1750759809 | Oak Ridge Assisted Living | Assisted Living Facility | 463 Rawlins Cir, Centerville, UT 84014-2104 | 2015-09-07 |
| 1245406792 | Beehive Homes of Centerville | Assisted Living Facility | 71 E Center St, Centerville, UT 84014-2244 | 2008-05-05 |
| 1003956202 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 500 Vermillion St, Centerville, SD 57014 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739582 | Countryhouse Cedar Rapids LLC | Assisted Living Facility | 5710 Gibson Drive Ne, Cedar Rapids, IA 52411 | 2020-10-27 |
| 1912504366 | Algona Ia Assisted Living Facility LLC | Assisted Living Facility | 512 N Finn Dr, Algona, IA 50511-7228 | 2020-10-07 |
| 1295349207 | Keystone North Liberty, LLC | Assisted Living Facility | 1275 W Forevergreen Rd, North Liberty, IA 52317-8533 | 2020-09-08 |
| 1316557218 | Rock Valley Assisted Living LLC | Assisted Living Facility | 712 Westview Dr, Rock Valley, IA 51247-7619 | 2020-08-05 |
| 1962011262 | Heartland Health Management, Inc. | Assisted Living Facility | 126 W Stonebrook Dr, Mount Pleasant, IA 52641-2686 | 2020-07-23 |
| 1972125003 | Arhc Phcrpia01 Trs, LLC | Assisted Living Facility | 2903 F Ave Nw, Cedar Rapids, IA 52405-2909 | 2020-05-12 |
| 1740812072 | Spirit Lake Senior Operator, LLC | Assisted Living Facility | 2810 Aurora Ave, Spirit Lake, IA 51360-7055 | 2020-02-05 |
| 1679112841 | Arhc Psindia01 Trs | Assisted Living Facility | 505 Enterprise Dr, Independence, IA 50644-9603 | 2020-01-05 |
| 1356996177 | Abilit Holdings (hawthorne Crossing) LLC | Assisted Living Facility | 601 Hawthorne Crossing Dr Se, Bondurant, IA 50035-1376 | 2019-08-08 |
| 1881253151 | Hammond Center, LLC | Assisted Living Facility | 907 Orchard Dr, Grinnell, IA 50112-2075 | 2019-06-11 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 52544 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.