Provider Demographics
NPI:1275149064
Name:ALPINE HOUSE OF MAPLE HEIGHTS, INC.
Entity Type:Organization
Organization Name:ALPINE HOUSE OF MAPLE HEIGHTS, INC.
Other - Org Name:ALPINE HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:OTD, OTR/L
Authorized Official - Phone:419-472-5350
Mailing Address - Street 1:2402 MISSION HILL DR
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-6239
Mailing Address - Country:US
Mailing Address - Phone:419-472-5350
Mailing Address - Fax:
Practice Address - Street 1:5500 NORTHFIELD RD
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-3114
Practice Address - Country:US
Practice Address - Phone:216-404-7448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-17
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility