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MAPLE CREST MANOR
NPI 1184292039
Assisted Living Facility - Assisted Living, Mental Illness in Cape Girardeau, MO

Active since June 16, 2021CLIA 26D0969649 · Waiver
430 N FREDERICK ST, CAPE GIRARDEAU, MO 63701(573) 339-7606 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Maple Crest Manor NPPES

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

MAPLE CREST MANOR (NPI 1184292039) is a healthcare organization registered as an assisted living, mental illness in Cape Girardeau, Missouri and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through January 20, 2028 and lists Kevin Wood, Owner, as its authorized official.

NPPES Registry Identity

NPI1184292039
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameMAPLE CREST MANOR LLC
Location Address430 N FREDERICK STCape Girardeau, MO 63701-4835
Mailing AddressPo Box 1570Cape Girardeau, MO 63702-1570
Phone(573) 339-7606
Organization SubpartNo
Authorized OfficialKevin WoodOwner · (573) 576-3029
Enumeration DateJune 16, 2021
Last NPPES UpdateJune 17, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1184292039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Also ListedAssisted Living FacilityTaxonomy 310400000X
430 N FREDERICK ST, Cape Girardeau, MO 63701
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Other Names 1

Doing Business AsMaple Crest Manor

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 26D0969649

Maple Crest Manor · Cape Girardeau, MO
Active · expires Jan 20, 2028
CLIA Number26D0969649
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorAnnah J. Voshage
Laboratory Phone(573) 334-2662
Laboratory LocationMaple Crest Manor430 N Frederick Street, Cape Girardeau, MO 63701
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Maple Crest Manor LLC's NPI number?

The NPI number for Maple Crest Manor LLC is 1184292039. It was assigned to this organization in the NPPES registry on June 16, 2021. The provider is doing business as Maple Crest Manor.

Where is Maple Crest Manor LLC located?

Maple Crest Manor LLC is located at 430 N Frederick St, Cape Girardeau, MO 63701. The listed phone number is (573) 339-7606.

What is Maple Crest Manor LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Maple Crest Manor LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0969649) is associated with this NPI, valid through January 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maple Crest Manor LLC was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.