Provider Demographics
NPI:1053131474
Name:MAPLECARE ADULT FAMILY HOME LLC
Entity type:Organization
Organization Name:MAPLECARE ADULT FAMILY HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:WANJIRU
Authorized Official - Last Name:KAHOIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-420-8647
Mailing Address - Street 1:5728 N MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-6737
Mailing Address - Country:US
Mailing Address - Phone:469-420-8647
Mailing Address - Fax:
Practice Address - Street 1:5728 N MAPLE ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-6737
Practice Address - Country:US
Practice Address - Phone:469-420-8647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care