Provider Demographics
NPI:1225629579
Name:AP HOMES OPERATIONS HIAWATHA KS, LLC
Entity Type:Organization
Organization Name:AP HOMES OPERATIONS HIAWATHA KS, LLC
Other - Org Name:MAPLE HEIGHTS NURSING AND REHABILITATIVE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHILEDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-359-3898
Mailing Address - Street 1:4016 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-2683
Mailing Address - Country:US
Mailing Address - Phone:816-359-3898
Mailing Address - Fax:
Practice Address - Street 1:302 E IOWA ST
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:KS
Practice Address - Zip Code:66434-9826
Practice Address - Country:US
Practice Address - Phone:785-742-7465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility