Provider Type Icon

MAPLE RIDGE MANOR INC NPI 1144650045


NPI Information

NPI: 1144650045
Provider Name: MAPLE RIDGE MANOR, INC

Doing Business As: MAPLE RIDGE ASSISTED LIVING

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
705 LAKE RD
DYERSBURG, TN
ZIP 38024
Phone: (731) 286-6725
Get Directions

MAPLE RIDGE MANOR, INC is an assisted living facility in Dyersburg, TN. 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 RIDGE MANOR, INC NPI is 1144650045. The provider is registered as an organization entity type.
The provider Is Doing Business As Maple Ridge Assisted Living.

The provider's business location address is:

705 LAKE RD
DYERSBURG, TN
ZIP 38024-918
Phone: (731) 286-6725
Fax: (731) 286-6977

The provider's authorized official is Bill Ables .
The authorized official title is Administrator and has the following contact phone number (731) 286-6725.

The enumeration date for this NPI number is 11/14/2013 and was last updated on 11/14/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityACL0000000212TENNESSEEYes

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: 4/28/2024

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.