MAPLE RIDGE LIVING CENTER OF CADILLAC LLC – NPI #1205767860
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Health Care Provider Taxonomy Code for Assisted Living Facility

MAPLE RIDGE LIVING CENTER OF CADILLAC LLC is an assisted living facility located in CADILLAC, MI. NPPES recently assigned the NPI number 1205767860 to MAPLE RIDGE LIVING CENTER OF CADILLAC LLC on May 25, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAPLE RIDGE LIVING CENTER OF CADILLAC LLC below.

NPI Profile for
MAPLE RIDGE LIVING CENTER OF CADILLAC LLC

NPI Number
1205767860
Enumeration Date

(about 2 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAPLE RIDGE LIVING CENTER OF CADILLAC LLC
Primary location
9072 S MACKINAW TRL
CADILLAC, MI 49601-8426
Phone: (231) 775-3710 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SANDRA BOGART
CFO
Phone: (231) 920-0992
Updated
Certification Date
May 24, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.