ENSIGN BOARDING HOME, INC (NPI# 1033345236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033345236 |
| Entity Type | Organization |
| Organization Name | ENSIGN BOARDING HOME, INC |
| Practice Address |
83 Elm Street Hartland ME 04943-0685 |
| Mailing Address |
P.o. Box 685 83 Elm Street Hartland ME 04943-0685 |
| Practice Telephone | 2079382020 |
| Practice Fax Number | 2079383833 |
| Mailing Telephone | 2079382020 |
| Mailing Fax Number | 2079383833 |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |
| Authorized Official Name | MRS. DEBORAH EVE SMITH (PRESIDENT) |
| Authorized Official Telephone | 2079382020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | ALLS3389 | ME | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 128390000 | 05 |
| Street Address |
83 ELM STREET |
| City | HARTLAND |
| State | ME |
| Zip Code | 04943-0685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346415940 | Roger Paul Martin | Denturist | 38 Moore Street, Hartland, ME 04943 | 2008-04-24 |
| 1497967087 | Victoria Rice | Massage Therapist | Corner of Commercial and Academy Streets, Hartland, ME 04943 | 2007-05-04 |
| 1558404384 | Robert A Carignan | Chiropractor | 192 Commercial St, Hartland, ME 04943 | 2007-02-14 |
| 1952729766 | Haley Levasseur | Physical Therapy Assistant | 105 Mechanic Street, Camden, ME 04943 | 2014-03-31 |
| 1851608988 | Doreen R. Moody | Speech-Language Pathologist | 63 Elm Street, Heartland, ME 04943 | 2010-09-10 |
| 1326108002 | North Country Associates, Inc | Skilled Nursing Facility | 95 Main Street, Hartland, ME 04943 | 2006-12-11 |
| 1912197914 | Jennifer Elizabeth Bagley | Nurse Practitioner | 10 Great Moose Dr, Hartland, ME 04943-3022 | 2007-07-26 |
| 1952487274 | Richard John Huber | Dentist | 24 Great Moose Dr, Hartland, ME 04943-3022 | 2006-10-29 |
| 1376156828 | Kiley Rae Knapp | Nurse Practitioner | 10 Great Moose Dr, Hartland, ME 04943-3022 | 2020-08-25 |
| 1740766765 | Nitzana Aviva Aufiero | Nurse Practitioner | 10 Great Moose Dr, Hartland, ME 04943-3022 | 2018-07-12 |
| Find all providers in zip 04943 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585591 | Assurance Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Gracelawn Rd Apt 3, Auburn, ME 04210-6557 | 2020-10-13 |
| 1033722236 | Maine Shared Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 715 Upper St, Turner, ME 04282-3808 | 2020-08-26 |
| 1730797465 | Dirigo Support Professionals LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 176 Broad St Apt 1, Auburn, ME 04210-5610 | 2020-07-20 |
| 1154948206 | Quality Care Access, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Wayne St, Portland, ME 04102-2228 | 2020-07-05 |
| 1558987438 | Moonlight Group Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 253 Lisbon Street, Lewiston, ME 04240-7704 | 2020-06-17 |
| 1629617477 | Compass Bridges LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Arrowhead Dr, Brunswick, ME 04011-7420 | 2019-12-26 |
| 1538705637 | Grace Support Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 86 Euclid Ave, Portland, ME 04103-1240 | 2019-11-23 |
| 1467097709 | Pine Peak Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1395 Congress St, Portland, ME 04102-2120 | 2019-11-11 |
| 1306480108 | Pine Peak Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Sara Ln, Portland, ME 04103-3622 | 2019-11-05 |
| 1821648650 | Advanced Care Solutions LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 88 Knox St, Lewiston, ME 04240-7406 | 2019-09-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.