Look up the most recent NPI and PECOS records

Maple Star Nevada

Community/Behavioral Health

Agencies

2965 S. Jones Blvd. Ste. E1, Las Vegas, NV 89146-5606

PECOS Enrollment

Based on the most recent information from CMS, provider Maple Star Nevada does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 38 days ago.

Profile Details

Provider ID
1245437458
Provider Type
Organization
Full Name
Maple Star Nevada

Subpart
No
Enumeration Date
6/29/2007
Last Updated
8/22/2020

Contact Information

Practice Location

2965 S. Jones Blvd. Ste. E1, Las Vegas, NV 89146-5606

(702) 733-8098

(702) 395-6457

Mailing Location

620 N. Craycroft, Tucson, AZ 85711

(520) 747-6600

(520) 747-6613

Authorized Official

Hoerning, Breeann M (Ar And Billing Manager)

(520) 747-6694

Provider Taxonomies

Code	Description	License
Code 251S00000X Primary	Description Community/Behavioral Health Agencies	License Unlisted Issuer

Maple Star Nevada

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

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