Organization · Type 2 NPI

SSC Statesville Maple Leaf Operating Company LLC

Skilled Nursing Facility · Statesville, NC

NPI number 1992825848 Active

Practice location

1101 Maple Care Lane
Statesville, NC 28625-8256

Call (704) 871-0705 Map

Mailing address

5300 W Sam Houston Pkwy N, Suite 100
Houston, TX 77041-5161

Specialties and licenses

Taxonomy	Code	License
Custodial Care Facility	311Z00000X	NH0488 (NC)
Adult Care Home Facility	311ZA0620X	NH0488 (NC)
Nursing Facility/Intermediate Care Facility	313M00000X	NH0488 (NC)
Skilled Nursing Facility Primary	314000000X	NH0488 (NC)

Skilled Nursing Facility: (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 r…

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NPI record

NPI: 1992825848
Entity type: Organization (Type 2)
Issued: Mar 31, 2007
Last updated: Nov 17, 2020
Status: Active

Other names

<unavail>
Maple Leaf Health Care · doing business as
Maple Leaf Health Care · doing business as

Authorized official

Kelle C Santoro
SR Director Ar
(832) 467-5728

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1992825848

SSC Statesville Maple Leaf Operating Company LLC's National Provider Identifier is 1992825848, issued on Mar 31, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Statesville, NC. The record was last updated on Nov 17, 2020.