THE MAPLES ADULT LIVING COMMUNITY
NPI 1952140618
Assisted Living Facility in Fulton, NY

Active since May 22, 2024CLIA 33D2299589 · Waiver

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Maples Adult Living Community NPPES

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

THE MAPLES ADULT LIVING COMMUNITY (NPI 1952140618), doing business as The Maples Assisted Living Facility, Llc, is a healthcare organization registered as an assisted living facility in Fulton, New York and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Atom Avery, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1952140618
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE MAPLES ADULT LIVING COMMUNITY
Location Address453 PARK STFulton, NY 13069-2548
Mailing Address453 Park StFulton, NY 13069-2548
Organization SubpartNo
Authorized OfficialAtom AveryManaging Member · (315) 529-3695
Enumeration DateMay 22, 2024
NPPES CertifiedMay 22, 2024
NPI 1952140618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
453 PARK ST, Fulton, NY 13069

Other Names 1

Doing Business AsThe Maples Assisted Living Facility, Llc

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 33D2299589

The Maples Assisted Living Facility LLC · Fulton, NY
Active · expires Mar 26, 2027
CLIA Number33D2299589
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 22, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Michael D. Stephens
Laboratory Phone(315) 887-5664
Laboratory LocationThe Maples Assisted Living Facility LLC453 Park St, Fulton, NY 13069
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
453 PARK ST
FULTON, NY 13069
Licensed Practical Nurse
453 PARK ST
FULTON, NY 13069

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 The Maples Adult Living Community's NPI number?

The NPI number for The Maples Adult Living Community is 1952140618. It was assigned to this organization in the NPPES registry on May 22, 2024. The provider is doing business as The Maples Assisted Living Facility, LLC.

Where is The Maples Adult Living Community located?

The Maples Adult Living Community is located at 453 Park St, Fulton, NY 13069. The listed phone number is (315) 887-5664.

What is The Maples Adult Living Community's specialty?

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

Does The Maples Adult Living Community hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2299589) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Maples Adult Living Community was last updated on May 22, 2024. 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.