Maple Crest Residential Care Facility

Maple Crest Residential Care Facility is a healthcare organization registered as Mental Illness Community Based Residential Treatment Facility in Poplar Bluff, MO, holding Type 2 (organization) NPI 1619147428 since 2008. The authorized official on file is Mark Keeney, Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1619147428
Entity type	Organization (Type 2)
Legal business name	Maple Crest Residential Care Facility
Practice address	307 N BROADWAY ST, Poplar Bluff, MO, 63901
Phone	5736864490
Fax	5736868817
Enumeration date	2008-03-07
Last updated in NPPES	2008-03-07

Authorized official

Name	Mark Keeney
Title	Owner
Phone	5736864490

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
320800000X	Mental Illness Community Based Residential Treatment Facility	Primary	—	MO

Copy-ready billing details

Provider: Maple Crest Residential Care Facility
NPI: 1619147428
Taxonomy: 320800000X (Mental Illness Community Based Residential Treatment Facility)
Address: 307 N BROADWAY ST, Poplar Bluff, MO, 63901

Providers at this address

NPI	Name	Type	Specialty	Location
1548649643	Portia'S Rcf, LLC	Organization	Assisted Living Facility	Poplar Bluff, MO

Verify this record

Cross-check NPI 1619147428 against the authoritative CMS record: view Maple Crest Residential Care Facility on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Maple Crest Residential Care Facility located?

The practice location on file with NPPES is in Poplar Bluff, MO.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-03-07. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-03-07.