MAPLE GROVE HEALTH AND REHABILITATION CENTER
NPI 1144405804
Custodial Care Facility - Adult Care Home in Greensboro, NC

Active since December 31, 2007CLIA 34D0877051 · Waiver
308 W MEADOWVIEW RD, GREENSBORO, NC 27406(336) 230-0534(336) 230-1664 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2022, May 18, 2021 (2 updates tracked since 2021).

About Maple Grove Health And Rehabilitation Center NPPES

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

MAPLE GROVE HEALTH AND REHABILITATION CENTER (NPI 1144405804) is a healthcare organization registered as an adult care home in Greensboro, North Carolina and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Gale Boice, Cfo, as its authorized official.

NPPES Registry Identity

NPI1144405804
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSNOWSHOE LTC GROUP, LLC
Location Address308 W MEADOWVIEW RDGreensboro, NC 27406-3610
Mailing Address308 W Meadowview RdGreensboro, NC 27406-3610 · (336) 230-0534 · Fax (336) 230-1664
Fax(336) 230-1664
Organization SubpartNo
Authorized OfficialGale BoiceCfo · (252) 523-9094
Enumeration DateDecember 31, 2007
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
NPI 1144405804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License Licensed in NC · NH0552
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License NH0552 (NC)
308 W MEADOWVIEW RD, Greensboro, NC 27406

Other Names 1

Doing Business AsMaple Grove Health And Rehabilitation Center

Other Identifiers 2

Medicaid7806638NC
Medicaid7802688NC

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 34D0877051

Maple Grove Health And Rehabilitation · Greensboro, NC
Active · expires Sep 27, 2027
CLIA Number34D0877051
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorIvy D. Pearson
Laboratory Phone(919) 230-0534
Laboratory LocationMaple Grove Health And Rehabilitation308 West Meadowview Road, Greensboro, NC 27406
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Home Health
308 W MEADOWVIEW RD
GREENSBORO, NC 27406
Speech-Language Pathologist
308 W MEADOWVIEW RD
GREENSBORO, NC 27406
Nurse Practitioner (Family)
308 W MEADOWVIEW RD
GREENSBORO, NC 27406
Skilled Nursing Facility
308 W MEADOWVIEW RD
GREENSBORO, NC 27406
Physical Therapy Assistant
308 W MEADOWVIEW RD
GREENSBORO, NC 27406
Speech-Language Pathologist
308 W MEADOWVIEW RD
GREENSBORO, NC 27406
Physical Therapist
308 W MEADOWVIEW RD
GREENSBORO, NC 27406
Speech-Language Pathologist
308 W MEADOWVIEW RD
GREENSBORO, NC 27406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Snowshoe Ltc Group, LLC's NPI number?

The NPI number for Snowshoe Ltc Group, LLC is 1144405804. It was assigned to this organization in the NPPES registry on December 31, 2007. The provider is doing business as Maple Grove Health And Rehabilitation Center.

Where is Snowshoe Ltc Group, LLC located?

Snowshoe Ltc Group, LLC is located at 308 W Meadowview Rd, Greensboro, NC 27406. The listed phone number is (336) 230-0534.

What is Snowshoe Ltc Group, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Snowshoe Ltc Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0877051) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Snowshoe Ltc Group, LLC was last updated on August 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.