Provider Demographics
NPI:1225573595
Name:MAPLE TREE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:MAPLE TREE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WHELAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:709-757-3530
Mailing Address - Street 1:27911 CROWN LAKE BLVD
Mailing Address - Street 2:STE 245
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-4210
Mailing Address - Country:US
Mailing Address - Phone:709-757-3530
Mailing Address - Fax:
Practice Address - Street 1:27911 CROWN LAKE BLVD
Practice Address - Street 2:STE 245
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4210
Practice Address - Country:US
Practice Address - Phone:709-757-3530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-22
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health