MAPLE GROVE SENIOR LIVING NPI 1003022963

NPI Information

  • NPI: 1003022963
  • Provider Name: MAPLE GROVE SENIOR LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: MAPLE GROVE SENIOR LIVING
  • Address: 1917 S 18TH ST
    CENTERVILLE, IA
    ZIP 52544
  • Phone: (641) 856-2757

Map and Directions

Get Directions

NPI Details

MAPLE GROVE SENIOR LIVING is an assisted living facility in Centerville, IA. The provider is 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. MAPLE GROVE SENIOR LIVING NPI is 1003022963. The provider is registered as an organization entity type.
The provider Is Doing Business As Maple Grove Senior Living.

The provider's business location address is:

1917 S 18TH ST
CENTERVILLE, IA
ZIP 52544-136
Phone: (641) 856-2757
Fax: (641) 856-2762

The provider's authorized official is Jason Vanderveer .
The authorized official title is Administrator and has the following contact phone number (641) 856-2757.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityS0088IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10262576MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI