MAPLE CREST CARE CENTRE LLC
NPI 1649256876
Skilled Nursing Facility in Belvidere, IL

Active since December 20, 2005CLIA 14D0646710 · Waiver
4452 SQUAW PRAIRIE RD, BELVIDERE, IL 61008(815) 547-6377(815) 547-3857 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maple Crest Care Centre Llc NPPES

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

MAPLE CREST CARE CENTRE LLC (NPI 1649256876) is a healthcare organization registered as a skilled nursing facility in Belvidere, Illinois and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michael Charles Braun, Controller, as its authorized official.

NPPES Registry Identity

NPI1649256876
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMAPLE CREST CARE CENTRE LLC
Location Address4452 SQUAW PRAIRIE RDBelvidere, IL 61008-8801
Mailing Address4452 Squaw Prairie RdBelvidere, IL 61008-8801 · (815) 547-6377 · Fax (815) 547-3857
Fax(815) 547-3857
Organization SubpartNo
Authorized OfficialMichael Charles BraunController · (847) 583-0100
Enumeration DateDecember 20, 2005
Last NPPES UpdateFebruary 20, 2012
NPI 1649256876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IL · 44172
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.
4452 SQUAW PRAIRIE RD, Belvidere, IL 61008

Other Identifiers 4

Medicaid=========001IL
Other44172IL · Idph License Number
Other6005706IL · Idph Facility Number
Medicare OSCAR/certification145990IL

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 14D0646710

Maple Crest Care Centre · Belvidere, IL
Active · expires Aug 31, 2026
CLIA Number14D0646710
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorThomas Michalsen MD
Laboratory Phone(815) 547-6377
Laboratory LocationMaple Crest Care Centre4452 Squaw Prairie Rd, Belvidere, IL 61008
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 2

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

Skilled Nursing Facility
4452 SQUAW PRAIRIE RD
BELVIDERE, IL 61008
Skilled Nursing Facility
4452 SQUAW PRAIRIE RD
BELVIDERE, IL 61008

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 Care Centre LLC's NPI number?

The NPI number for Maple Crest Care Centre LLC is 1649256876. It was assigned to this organization in the NPPES registry on December 20, 2005.

Where is Maple Crest Care Centre LLC located?

Maple Crest Care Centre LLC is located at 4452 Squaw Prairie Rd, Belvidere, IL 61008. The listed phone number is (815) 547-6377.

What is Maple Crest Care Centre LLC's specialty?

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

Does Maple Crest Care Centre LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0646710) is associated with this NPI, valid through August 31, 2026. 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 Care Centre LLC was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.