NICKS MAPLE HOME LLC NPI 1942195367

NPI Information

  • NPI: 1942195367
  • Provider Name: NICKS MAPLE HOME LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 1065 W HUFF ST
    RIALTO, CA
    ZIP 92376
  • Phone: (909) 440-5252

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NPI Details

NICKS MAPLE HOME LLC is an assisted living facility in Rialto, CA. 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. NICKS MAPLE HOME LLC NPI is 1942195367. The provider is registered as an organization entity type.

The provider's business location address is:

1065 W HUFF ST
RIALTO, CA
ZIP 92376-826
Phone: (909) 440-5252

The provider's authorized official is Najeh Hamed .
The authorized official title is Ceo and has the following contact phone number (786) 219-6008.

The enumeration date for this NPI number is 6/9/2025 and was last updated on 6/9/2025.

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 FacilityYes

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: 3/30/2025

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