MAPLE RIDGE MANOR, INC (NPI# 1144650045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144650045 |
| Entity Type | Organization |
| Organization Name | MAPLE RIDGE MANOR, INC |
| Other Organization Name | MAPLE RIDGE ASSISTED LIVING |
| Practice Address |
705 Lake Rd Dyersburg TN 38024-2918 |
| Practice Telephone | 7312866725 |
| Practice Fax Number | 7312866977 |
| Mailing Telephone | 7312866725 |
| Mailing Fax Number | 7312866977 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |
| Authorized Official Name | MR. BILL ABLES (ADMINISTRATOR) |
| Authorized Official Telephone | 7312866725 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ACL0000000212 | TN | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Maple Ridge Assisted Living | Doing Business As Name - Organization |
| Street Address |
705 LAKE RD |
| City | DYERSBURG |
| State | TN |
| Zip Code | 38024-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760273 | Alison Clement | Nurse Practitioner | 750 W Highway 51 Bypass, Dyersburg, TN 38024 | 2020-01-29 |
| 1861030652 | Pagela Jobe | Nurse Practitioner | 750 West Highway 51 Bypass, Dyersburg, TN 38024 | 2019-12-12 |
| 1083184055 | Whitney Young | Nurse Practitioner | 455 East Parkview, Dyersburg, TN 38024 | 2018-12-03 |
| 1518434067 | Myeyedr Optometry of Tennessee, LLC | Optometrist | 400 Us Hwy 51 S, Dyersburg, TN 38024 | 2018-11-01 |
| 1225529142 | Kidney Experts Pllc | Internal Medicine | 1575 Parr Ave # B, Dyersburg, TN 38024 | 2018-05-25 |
| 1407344690 | Darnisha Williams | Pharmacist | 2650 Lake Road, Dyersburg, TN 38024 | 2018-04-24 |
| 1376081547 | Chasidy Branch | Counselor | 640 U.S. Highway 51 Bypass E. Suite M, Dyersburg, TN 38024 | 2017-02-07 |
| 1548671845 | Shree Ramakant Mulay | Internal Medicine | 1575 Parr Ave Ste B, Dyersburg, TN 38024 | 2014-05-08 |
| 1588904965 | Selina Carol Purvis | Physical Therapy Assistant | 1900 Parr Avenue, Dyersburg, TN 38024 | 2013-02-22 |
| 1326396029 | Tennessee Sleep Managment LLC | Clinic/Center | 1190 Hwy 51 By-pass West, Suite C, Dyersburg, TN 38024 | 2012-08-28 |
| Find all providers in zip 38024 | ||||
| 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 |
|---|---|---|---|---|
| 1568061141 | Morning Pointe Assisted Living | Assisted Living Facility | 324 Mount Bethel Rd, Greeneville, TN 37745-6346 | 2020-10-23 |
| 1467069807 | Goodlettsville Al Mc Care Properties, LLC | Assisted Living Facility | 322 Northcreek Blvd, Goodlettsville, TN 37072-1998 | 2020-09-29 |
| 1417564410 | Lily Healthcare Service | Assisted Living Facility | 4290 Ridgestone Dr Apt 5, Memphis, TN 38128-1837 | 2020-09-24 |
| 1871107482 | Springfield Residential, LLC | Assisted Living Facility | 2530 South Main Street, Springfield, TN 37172 | 2020-09-01 |
| 1275161200 | Mcclain Properties, LLC | Assisted Living Facility | 1320 Bellshire Terrace Dr, Nashville, TN 37207-1734 | 2020-03-27 |
| 1336779248 | Meadow View Senior Living | Assisted Living Facility | 111 Acuff Ln, Clinton, TN 37716-6892 | 2020-01-20 |
| 1104461383 | Denise Senior Living | Assisted Living Facility | 1016 Charlie Daniels Pkwy, Mt Juliet, TN 37122-3064 | 2019-11-12 |
| 1164070454 | Heritage At S Peters Inc | Assisted Living Facility | 273 S Peters Rd, Knoxville, TN 37923-5204 | 2019-08-29 |
| 1316595085 | Snh Tenn Tenant LLC | Assisted Living Facility | 1010 E Spring St, Cookeville, TN 38501-3651 | 2019-08-27 |
| 1427601327 | Pinnacle Assisted Living | Assisted Living Facility | 10520 Waterville Ln, Knoxville, TN 37932-3754 | 2019-07-19 |
| Find all providers with the same taxonomy | ||||
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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.