SILVER MAPLE RECOVERY, LLC


Address: 2101 All Pro Athletic Ave, Lorain, OH 44053-2380
Phone: 4409895200

SILVER MAPLE RECOVERY, LLC (NPI# 1124597182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124597182
Entity Type Organization
Organization Name SILVER MAPLE RECOVERY, LLC
Practice Address 2101 All Pro Athletic Ave
Lorain
OH 44053-2380
Mailing Address 3905 Oberlin Ave
Lorain
OH 44053-2853
Practice Telephone 4409895200
Mailing Telephone 4409895238
Mailing Fax Number 4409894362
Enumeration Date 2018-11-20
Last Update Date 2018-11-20
Authorized Official Name SUE E WIEDENMANNOTT (MEDICARE COORDINATOR)
Authorized Official Telephone 4409895238
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SILVER MAPLE RECOVERY, LLC 2101 All Pro Athletic Ave, Lorain, OH 44053-2380

Office Location

Street Address 2101 ALL PRO ATHLETIC AVE
City LORAIN
State OH
Zip Code 44053-2380

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386242196 Yokita Maria Thomas Homemaker 4818 Ashland Ave, Lordin, OH 44053 2020-10-14
1497353445 Matthew George Simkovich Homemaker 4366 Jenee Dr, Lorain, OH 44053 2020-10-13
1881229979 Christine Wilson Physical Therapist 5940 Oak Point Rd., Lorain, Lorain, OH 44053 2020-03-09
1912538760 Barry Delaney Masin Student in an Organized Health Care Education/Training Program 2704 West Erie Avenue, Lorain, OH 44053 2020-01-30
1275171399 Martina Beato Social Worker The Nord Center 6140 S. Broadway, Lorain, OH 44053 2019-12-19
1285279802 Tivan LLC Non-emergency Medical Transport (VAN) 5821 Williamsburg Dr., Lorain, OH 44053 2019-11-07
1023650843 Candace Taber Case Manager/Care Coordinator 6140 South Broadway, Lorain, OH 44053 2019-10-14
1265956098 Phillip H Emerson Social Worker 1740 Cooper Foster Park Road East, Lorain, OH 44053 2017-08-02
1447796750 Kafilat Idowu Kelani Nurse Practitioner 3700 Kolbe Rd, Lorain, Lorain, OH 44053 2017-01-10
1083075808 Mark B Applegate Counselor 2115 West Park Drive, Lorain, OH 44053 2016-03-08
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1043863384 Team Recovery Ohio, LLC Clinic/Center 1618 W Sylvania Ave, Toledo, OH 43612-1589 2019-07-16
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1700357829 Lovel Henderson Jr Clinic/Center 6600 Lexington Ave, Cleveland, OH 44103 2018-12-16
1669942934 Baymark Health Services of Ohio Clinic/Center 833 E Broad St Unit 1, Elyria, OH 44035-6557 2018-11-29
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Competitor

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City LORAIN
Zip Code 44053

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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