Maple Grove Senior Living

LBN: Maple Grove Senior Living
Maple Grove Senior Living is an health care organization with primary practice located at 1917 S 18Th St , Centerville IA 52544-3136. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Maple Grove Senior Living can be contacted via phone (641) 856-2757, or through Vanderveer, Jason via phone (641) 856-2757.

Contact Information

Primary practice address
1917 S 18Th St Centerville IA 52544-3136
Fax: (641) 856-2762
Website:
Authorized official contact:
Name: Vanderveer, Jason

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X S0088 Iowa

Profile Details

NPI number 1003022963
LBN Legal business name Maple Grove Senior Living
DBA Doing business as Maple Grove Senior Living
Authorized official Vanderveer, Jason
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003022963 NPPES
Iowa MEDICAID 0262576

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