MAPLEWOOD SUPPORTIVE LIVING (NPI# 1053862615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053862615 |
| Entity Type | Organization |
| Organization Name | MAPLEWOOD SUPPORTIVE LIVING |
| Practice Address |
21755 Maplewood Dr Southfield MI 48033-3601 |
| Mailing Address |
37637 W. 5 Mile Road #223 Livonia MI 48154-1543 |
| Practice Telephone | 7346125957 |
| Mailing Telephone | 7346125957 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | DOROTHY STOKES (OWNER) |
| Authorized Official Telephone | 7346125957 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AS630295056 | MI | Nursing & Custodial Care Facilities |
| Street Address |
21755 MAPLEWOOD DR |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245508761 | Maplewood Supportive Living, Inc | Community Based Residential Treatment Facility, Mental Illness | 21755 Maplewood Dr, Southfield, MI 48033-3601 | 2011-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| 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 |
|---|---|---|---|---|
| 1588288534 | Regal Towers Bldg C, LLC Dba Imperial Senior Suites | Assisted Living Facility | 27600 Franklin Rd Ofc, Southfield, MI 48034-2360 | 2020-06-05 |
| 1265053250 | William Tyner Mayer | Assisted Living Facility | 26962 Franklin Rd, Southfield, MI 48033-2443 | 2020-04-30 |
| 1184159030 | Landers Rehabilitation Services LLC | Assisted Living Facility | 25695 Mulberry Dr, Southfield, MI 48033-2777 | 2017-04-28 |
| 1982007662 | Fairway Senior Services | Assisted Living Facility | 29140 Murray Crescent Dr, Southfield, MI 48076-5246 | 2014-10-08 |
| 1265874457 | Manor House | Assisted Living Facility | 21700 Northwestern Hwy Ste 880, Southfield, MI 48075-4921 | 2013-07-29 |
| 1538409685 | Good Faith Manor LLC | Assisted Living Facility | 18759 Greenwald Dr, Southfield, MI 48075-5868 | 2013-02-27 |
| 1518236991 | Radclift Inc | Assisted Living Facility | 17115 Melrose St, Southfield, MI 48075-7604 | 2011-12-14 |
| 1902051907 | The Eiland's Assisted Living II | Assisted Living Facility | 17670 New Hampshire Dr, Southfield, MI 48075-2729 | 2008-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567890 | Mcap Holt Opco LLC | Assisted Living Facility | 4300 Keller Rd, Holt, MI 48842-1268 | 2020-10-27 |
| 1457959363 | Baruch Sls, Inc. | Assisted Living Facility | 3191 M 65, Hale, MI 48739-8512 | 2020-10-13 |
| 1215544739 | Baruch Sls, Inc. | Assisted Living Facility | 3100 Wyndham Dr, Flushing, MI 48433-2290 | 2020-09-29 |
| 1730796558 | Baruch Sls, Inc. | Assisted Living Facility | 130 Mary Ann St, Grayling, MI 49738-7037 | 2020-09-25 |
| 1649887472 | Baruch Sls, Inc. | Assisted Living Facility | 300 S Grand Ave, Leland, MI 49654-5052 | 2020-09-25 |
| 1013524834 | Baruch Sls, Inc. | Assisted Living Facility | 2801 Charlevoix Rd, Petoskey, MI 49770-9727 | 2020-09-25 |
| 1346857174 | Baruch Sls, Inc. | Assisted Living Facility | 1311 Southwestern Dr, Tecumseh, MI 49286-1233 | 2020-09-25 |
| 1427665439 | Baruch Sls, Inc. | Assisted Living Facility | 301 N Quick St, Blissfield, MI 49228-1051 | 2020-09-24 |
| 1295341956 | Comfort Home of Bloomfield Inc | Assisted Living Facility | 6372 Tutbury Ln, Troy, MI 48098-2151 | 2020-09-18 |
| 1306451679 | Traditions At Rivertown Park, LLC | Assisted Living Facility | 3555 Copper River Ave Sw, Wyoming, MI 49418-9791 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
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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.