MAPLE MANOR NURSING AND REHAB LLC
NPI 1184020612
Skilled Nursing Facility in Rochester, MN

Q: What is Maple Manor Nursing And Rehab LLC's NPI number?

The NPI number for Maple Manor Nursing And Rehab LLC is 1184020612. It was assigned to this organization in the NPPES registry on November 11, 2014.

Q: What is Maple Manor Nursing And Rehab LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Q: What quality rating does Maple Manor Nursing And Rehab LLC have?

CMS rates Edenbrook Of Rochester 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since November 11, 2014CLIA 24D0676230 · Waiver

2/5

Overall Rating

1875 19TH ST NW, ROCHESTER, MN 55901(507) 282-9449 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2020, Mar 29, 2017 (2 updates tracked since 2017).

On this page

About Maple Manor Nursing And Rehab Llc NPPES

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

MAPLE MANOR NURSING AND REHAB LLC (NPI 1184020612) is a healthcare organization registered as a skilled nursing facility in Rochester, Minnesota and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Max Stesel, Member, as its authorized official.

NPPES Registry Identity

NPI1184020612

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameMAPLE MANOR NURSING AND REHAB LLC

Location Address1875 19TH ST NWRochester, MN 55901-1633

Mailing Address8170 Mccormick Blvd, Ste 112Skokie, IL 60076-2961 · (773) 825-3336 · Fax (773) 570-4554

Phone(507) 282-9449

Organization SubpartNo

Authorized OfficialMax SteselMember · (773) 825-3336

Enumeration DateNovember 11, 2014

Last NPPES UpdateSeptember 16, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2020

✔ NPI 1184020612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

1875 19TH ST NW, Rochester, MN 55901

Open in Google Maps ↗

Other Identifiers 1

Medicaid843242200MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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 24D0676230

Maple Manor Nursing & Rehab LLC · Rochester, MN

Active · expires Aug 31, 2026

CLIA Number24D0676230

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorKim Morris

Laboratory Phone(507) 282-9449

Laboratory LocationMaple Manor Nursing & Rehab LLC1875 19th Street NW, Rochester, MN 55901

CLIA data matches this NPI record on: Address Phone

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

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Edenbrook Of Rochester (CMS certification number 245409), from CMS Care Compare.

Edenbrook Of Rochester

Nursing home · Rochester, MN

2/5 CMS Overall Rating

OwnershipFor profit - Corporation

CMS Certification Number245409

Certified Beds81 beds51 residents per day on average

Medicare & Medicaid Participant SinceJanuary 1, 1987

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

5/5

Long-Stay Quality

Quality of care delivered to long-term residents.

5/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

5/5

Staffing

Based on nursing staff hours relative to resident needs.

3/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

129

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.2 · LPN 0.87 · RN 0.77

3.84 hrs per resident per day

Weekend Nurse Staffing

3.52 hrs per resident per day

Physical Therapist Staffing

0.18 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

63.5%

Registered Nurse Turnover

70%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

4 totaling $63,993.15

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Leave this field empty

Other Providers at the Same Location NPPES 12

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

BRYAN MATTHEW O'DOWD CCC-SLP

Speech-Language Pathologist