MAPLEWOOD ASSISTED LIVING - NPI 1033448287 - Assisted Living Facility in Canton, NY

Q: What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

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About Maplewood Assisted Living NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAPLEWOOD ASSISTED LIVING (NPI 1033448287) is a healthcare organization registered as an assisted living facility in Canton, New York and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Todd Amo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1033448287

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameUNITED HELPERS CANTON NURSING HOME, INC

Location Address205 STATE STREET RDCanton, NY 13617-3302

Mailing Address205 State Street RdCanton, NY 13617-3302 · (315) 386-4541 · Fax (315) 386-2131

Phone(315) 386-4541

Fax(315) 386-2131

Organization SubpartNo

Authorized OfficialTodd AmoAdministrator · (315) 386-4541

Enumeration DateDecember 17, 2009

Last NPPES UpdateJuly 8, 2011

✔ NPI 1033448287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

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.

Also ListedHome HealthTaxonomy 251E00000X · License 1637L001 (NY)

205 STATE STREET RD, Canton, NY 13617

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Other Names 1

Doing Business AsMaplewood Assisted Living

Other Identifiers 2

Other630E008NY · License Number

Other1637L001NY · License Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0721078

United Helpers Canton Nursing Home Inc Dba United Helpers Rehabilitation And Senior Care · Canton, NY

Active · expires Mar 26, 2027

CLIA Number33D0721078

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 1994

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Gregory Healey

Laboratory Phone(315) 386-4541

Laboratory LocationUnited Helpers Canton Nursing Home Inc Dba United Helpers Rehabilitation And Senior Care205 State St Rd, Canton, NY 13617

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. REBECCA LYNN COLLINS MPT

Physical Therapist