MANOR AT PHILLIPSTOWN PLACE INC (NPI# 1104060656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104060656 |
| Entity Type | Organization |
| Organization Name | MANOR AT PHILLIPSTOWN PLACE INC |
| Other Organization Name | MAYFLOWER PLACE |
| Practice Address |
27 Mayflower St Sanford ME 04073-3645 |
| Mailing Address |
25 June St Sanford ME 04073-2621 |
| Practice Telephone | 2074900400 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |
| Authorized Official Name | MR. RON BRYANT (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2074907327 |
| Is Organization Subpart | Y |
| Parent Organization Name | MANOR AT PHILLIPSTOWN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ALLS 3199 | ME | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 124600001 | 05 |
| Other Name | Type Code |
|---|---|
| Mayflower Place | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295979755 | Manor At Phillipstown Place Inc | Custodial Care Facility | 164 Hanson Ridge Rd, Springvale, ME 04083-5403 | 2009-04-28 |
| Street Address |
27 MAYFLOWER ST |
| City | SANFORD |
| State | ME |
| Zip Code | 04073-3645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326551888 | Casey Hope Lapierre | Chiropractor | 21 Daigle Lane, Sanford, ME 04073 | 2017-11-07 |
| 1619404860 | Matthew Jason Holt | Counselor | 469 Main Street, Suite 201, Sanford, ME 04073 | 2017-05-18 |
| 1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
| 1730639311 | Kathleen Ann Coward | Denturist | 1200 Main Street, Sanford, ME 04073 | 2016-10-07 |
| 1437522174 | We Care Home Care | Home Health | 38 Brook St Apt A, Sanford, ME 04073 | 2015-11-03 |
| 1619231602 | Paul E. Beaudoin | Dentist | 2 Stilson Street, Sanford, ME 04073 | 2012-06-25 |
| 1730332685 | York County Community Action Corps | Case Management | 35 Island Ave., Sanford, ME 04073 | 2008-10-23 |
| 1205031788 | Douglas W. Rainforth | Specialist | Goodall Occupational Health Clinic, 13july St., Sanford, ME 04073 | 2007-06-15 |
| 1275742645 | Janet S Steffens | Speech-Language Pathologist | Center for Communication, 1280 Main Street, Sanford, ME 04073 | 2007-05-22 |
| 1003033358 | Lauren M Torch | Social Worker | 890 Main Street, Suite 118 Lower Midtown Mall, Sanford, ME 04073 | 2007-04-19 |
| Find all providers in zip 04073 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: [7/1/2003: new] |
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| 1871009258 | Sunshine Pharmacy of Sanford LLC | Assisted Living Facility | 5040 Sr 46 Ste 1126, Sanford, FL 32771-9252 | 2017-12-20 |
| 1790186526 | Parkview Retirement Center, Inc. | Assisted Living Facility | 1801 Wicker St, Sanford, NC 27330-7782 | 2014-09-11 |
| 1720418635 | Hope Assisted Living Facility | Assisted Living Facility | 1401 Dixie Way, Sanford, FL 32771-3034 | 2013-11-14 |
| 1548604267 | Nic 5 Renaissance Retirement Leasing LLC | Assisted Living Facility | 300 W Airport Blvd., Sanford, FL 32773 | 2013-04-24 |
| 1538324801 | Renassaince Retirement Center, LLC | Assisted Living Facility | 300 W Airport Blvd, Sanford, FL 32773-8000 | 2008-07-25 |
| 1992988547 | Guardian Home Alf LLC | Assisted Living Facility | 431 E Airport Blvd, Sanford, FL 32773-5494 | 2007-12-06 |
| 1629258678 | Alternative Senior Care | Assisted Living Facility | 5433 Sr 46, Sanford, FL 32771-9236 | 2007-11-07 |
| 1316133374 | Leak's Family Care Home | Assisted Living Facility | 302 Stone St, Sanford, NC 27330-5831 | 2007-09-24 |
| 1043406002 | Leak's Family Care Home | Assisted Living Facility | 548 Cox Maddox Rd, Sanford, NC 27332-8019 | 2007-09-24 |
| 1265633762 | Four Seasons Alf Inc | Assisted Living Facility | 5080 Wayside Dr, Sanford, FL 32771-8613 | 2007-05-30 |
| Find all providers in SANFORD | ||||
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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.