MAPLE AVENUE OPERATING COMPANY, LLC
NPI 1689447518
Skilled Nursing Facility in Reidsville, NC

Active since November 02, 2023CLIA 34D0239194 · Waiver
543 MAPLE AVE, REIDSVILLE, NC 27320(336) 342-1382 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maple Avenue Operating Company, Llc NPPES

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

MAPLE AVENUE OPERATING COMPANY, LLC (NPI 1689447518) is a healthcare organization registered as a skilled nursing facility in Reidsville, North Carolina and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Yosef Emanuel, Member, as its authorized official.

NPPES Registry Identity

NPI1689447518
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMAPLE AVENUE OPERATING COMPANY, LLC
Location Address543 MAPLE AVEReidsville, NC 27320-4627
Mailing Address543 Maple AveReidsville, NC 27320-4627 · (336) 342-1382
Organization SubpartNo
Authorized OfficialYosef EmanuelMember · (917) 745-7945
Enumeration DateNovember 2, 2023
NPPES CertifiedNovember 2, 2023
NPI 1689447518 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.
543 MAPLE AVE, Reidsville, NC 27320

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 34D0239194

Maple Avenue Operating Company, LLC · Reidsville, NC
Active · expires Aug 31, 2026
CLIA Number34D0239194
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorHeather R. Halla
Laboratory Phone(336) 342-1382
Laboratory LocationMaple Avenue Operating Company, LLC543 Maple Avenue, Reidsville, NC 27320
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 5

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

Skilled Nursing Facility
543 MAPLE AVE
REIDSVILLE, NC 27320
Nurse Practitioner (Family)
543 MAPLE AVE
REIDSVILLE, NC 27320
Skilled Nursing Facility
543 MAPLE AVE
REIDSVILLE, NC 27320
Occupational Therapist
543 MAPLE AVE
REIDSVILLE, NC 27320
Skilled Nursing Facility
543 MAPLE AVE
REIDSVILLE, NC 27320

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 Avenue Operating Company, LLC's NPI number?

The NPI number for Maple Avenue Operating Company, LLC is 1689447518. It was assigned to this organization in the NPPES registry on November 2, 2023.

Where is Maple Avenue Operating Company, LLC located?

Maple Avenue Operating Company, LLC is located at 543 Maple Ave, Reidsville, NC 27320. The listed phone number is (336) 342-1382.

What is Maple Avenue Operating Company, LLC's specialty?

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

Does Maple Avenue Operating Company, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0239194) 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 Avenue Operating Company, LLC was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.