MAPLE GLEN ASSISTED LIVING
NPI 1891911012
Assisted Living Facility in Shelton, WA

Active since April 17, 2007
1700 N 13TH LOOP RD, SHELTON, WA 98584(360) 427-0300(360) 427-0303 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maple Glen Assisted Living NPPES

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

MAPLE GLEN ASSISTED LIVING (NPI 1891911012) is a healthcare organization registered as an assisted living facility in Shelton, Washington and active in the NPI registry since April 2007. The organization lists Kelley Crabtree, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1891911012
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSHELTON ASSISTED LIVING
Location Address1700 N 13TH LOOP RDShelton, WA 98584-2167
Mailing Address4610 Ne 77th Ave, Suite #132Vancouver, WA 98662-6789 · (360) 449-4524 · Fax (360) 449-4525
Fax(360) 427-0303
Organization SubpartNo
Authorized OfficialKelley CrabtreeExecutive Director · (360) 427-0300
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1891911012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in WA · BH1447
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1700 N 13TH LOOP RD, Shelton, WA 98584

Other Names 1

Doing Business AsMaple Glen Assisted Living

Other Identifiers 1

Medicaid938589WA

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 Shelton Assisted Living's NPI number?

The NPI number for Shelton Assisted Living is 1891911012. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is doing business as Maple Glen Assisted Living.

Where is Shelton Assisted Living located?

Shelton Assisted Living is located at 1700 N 13th Loop Rd, Shelton, WA 98584. The listed phone number is (360) 427-0300.

What is Shelton Assisted Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Shelton Assisted Living was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.