MAPLE RIDGE ASSISTED LIVING COMMUNITY
NPI 1275721268
Exclusive Provider Organization in Salem, OR

Active since October 04, 2007CLIA 50D2254857 · Waiver
3220 STATE ST, SUITE 200, SALEM, OR 97301(503) 566-5715(503) 588-3531 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maple Ridge Assisted Living Community NPPES

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

MAPLE RIDGE ASSISTED LIVING COMMUNITY (NPI 1275721268) is a healthcare organization registered as an exclusive provider organization in Salem, Oregon and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kelley D Hamilton, Ceo And President Of Manager, as its authorized official.

NPPES Registry Identity

NPI1275721268
Entity TypeOrganization
Primary Taxonomy302F00000X
Legal Business NameMAPLE RIDGE ASSISTED LIVING COMMUNITY LLC
Location Address3220 STATE ST, SUITE 200Salem, OR 97301-6872
Mailing Address1767 Alliance AveFreeland, WA 98249-9448 · (360) 331-1303 · Fax (360) 331-1363
Fax(503) 588-3531
Organization SubpartNo
Authorized OfficialKelley D HamiltonCeo And President Of Manager · (503) 566-5715
Enumeration DateOctober 4, 2007
NPI 1275721268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyExclusive Provider OrganizationManaged Care Organizations
Taxonomy Code302F00000X
License Licensed in WA · 1966
Definition
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
3220 STATE ST, Salem, OR 97301

Other Names 1

Doing Business AsMaple Ridge Assisted Living Community

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 50D2254857

Maple Ridge Assisted Living Community · Freeland, WA
Active · expires Apr 4, 2028
CLIA Number50D2254857
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 8, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorNicole Brophy
Laboratory Phone(360) 331-1303
Laboratory LocationMaple Ridge Assisted Living Community1767 Alliance Ave, Freeland, WA 98249
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 20

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

Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Exclusive Provider Organization
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301

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 Ridge Assisted Living Community LLC's NPI number?

The NPI number for Maple Ridge Assisted Living Community LLC is 1275721268. It was assigned to this organization in the NPPES registry on October 4, 2007. The provider is doing business as Maple Ridge Assisted Living Community.

Where is Maple Ridge Assisted Living Community LLC located?

Maple Ridge Assisted Living Community LLC is located at 3220 State St Suite 200, Salem, OR 97301. The listed phone number is (503) 566-5715.

What is Maple Ridge Assisted Living Community LLC's specialty?

The primary specialty registered for this NPI is Exclusive Provider Organization with taxonomy code 302F00000X.

Does Maple Ridge Assisted Living Community LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2254857) is associated with this NPI, valid through April 4, 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 Ridge Assisted Living Community LLC was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.