MAPLE LEAF HEALTH CARE
NPI 1992825848
Skilled Nursing Facility in Statesville, NC

Active since March 31, 2007CLIA 34D0940687 · Microscopy
1101 MAPLE CARE LANE, STATESVILLE, NC 28625(704) 871-0705 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maple Leaf Health Care NPPES

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

MAPLE LEAF HEALTH CARE (NPI 1992825848) is a healthcare organization registered as a skilled nursing facility in Statesville, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through February 12, 2028 and lists Kelle C Santoro, Sr Director Ar, as its authorized official.

NPPES Registry Identity

NPI1992825848
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSSC STATESVILLE MAPLE LEAF OPERATING COMPANY LLC
Location Address1101 MAPLE CARE LANEStatesville, NC 28625-8256
Mailing Address5300 W Sam Houston Pkwy N, Suite 100Houston, TX 77041-5161 · (832) 467-6000
Organization SubpartNo
Authorized OfficialKelle C SantoroSr Director Ar · (832) 467-5728
Enumeration DateMarch 31, 2007
Last NPPES UpdateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
NPI 1992825848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NC · NH0488
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.
Also ListedCustodial Care FacilityTaxonomy 311Z00000X · License NH0488 (NC)
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License NH0488 (NC)
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License NH0488 (NC)
1101 MAPLE CARE LANE, Statesville, NC 28625

Other Names 1

Doing Business AsMaple Leaf Health Care

Other Identifiers 3

Medicaid3425340NC
Medicaid3426265NC
Medicaid7801592NC

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 for Provider-Performed Microscopy Procedures (PPMP) 34D0940687

Maple Leaf Health Care · Statesville, NC
Active · expires Feb 12, 2028
CLIA Number34D0940687
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorJennifer Simen
Laboratory Phone(704) 871-0705
Laboratory LocationMaple Leaf Health Care2640 Davie Ave, Statesville, NC 28677
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Ssc Statesville Maple Leaf Operating Company LLC's NPI number?

The NPI number for Ssc Statesville Maple Leaf Operating Company LLC is 1992825848. It was assigned to this organization in the NPPES registry on March 31, 2007. The provider is doing business as Maple Leaf Health Care.

Where is Ssc Statesville Maple Leaf Operating Company LLC located?

Ssc Statesville Maple Leaf Operating Company LLC is located at 1101 Maple Care Lane, Statesville, NC 28625. The listed phone number is (704) 871-0705.

What is Ssc Statesville Maple Leaf Operating Company LLC's specialty?

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

Does Ssc Statesville Maple Leaf Operating Company LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0940687) is associated with this NPI, valid through February 12, 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 Ssc Statesville Maple Leaf Operating Company LLC was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.