Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maple Lake Assisted Living

Organization Exclusive Provider Organization · NPI 1306279740

Maple Lake Assisted Living is an Exclusive Provider Organization in Paw Paw, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013

Practice location Address checks out

677 Hazen St
Paw Paw, MI 49079-1010
Phone: (269) 657-0190
Fax: (269) 657-4290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X · Licence AH800315846 (MI)

Record details

NPI number1306279740
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLeisure Living Management
Authorized official Lindsey Haley — Director Of Operations · (616) 901-2986
NPI enumeratedAugust 20, 2013
Last updated in NPPESAugust 20, 2013
Mailing address3196 Kraft Ave Se, Suite 200, Grand Rapids, MI 49512-2078