Provider Demographics
NPI:1538877709
Name:RED MAPLE HOLDINGS, INC
Entity type:Organization
Organization Name:RED MAPLE HOLDINGS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:AYENI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-902-4402
Mailing Address - Street 1:3939 BELT LINE RD STE 150
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-5851
Mailing Address - Country:US
Mailing Address - Phone:469-902-4402
Mailing Address - Fax:469-466-6265
Practice Address - Street 1:3939 BELT LINE RD STE 150
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-5851
Practice Address - Country:US
Practice Address - Phone:469-902-4402
Practice Address - Fax:469-466-6265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based