Maple Star Nevada Llc

LBN: Maple Star Nevada Llc
Maple Star Nevada Llc is an health care organization with primary practice located at 855 W 7Th St Ste 160 , Reno NV 89503-2706. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Maple Star Nevada Llc can be contacted via phone (775) 677-2216, or through Poulson, Antoinette via phone (775) 677-2216.

Contact Information

Primary practice address
855 W 7Th St Ste 160 Reno NV 89503-2706
Phone: (775) 677-2216
Fax: (775) 322-4460
Website:
Map and Directions
Authorized official contact:
Name: Poulson, Antoinette
Phone: (775) 677-2216

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1457492332
LBN Legal business name Maple Star Nevada Llc
DBA Doing business as
Authorized official Poulson, Antoinette
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Nov 2nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457492332 NPPES
Nevada MEDICAID 100508114

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