JANUS SUPPORTIVE LIVING SERVICES INC. (NPI# 1154479830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154479830 |
| Entity Type | Organization |
| Organization Name | JANUS SUPPORTIVE LIVING SERVICES INC. |
| Other Organization Name | WASHINGTON MANOR |
| Practice Address |
276 Razorville Rd Washington ME 04574-3817 |
| Practice Telephone | 2078452231 |
| Practice Fax Number | 2078452032 |
| Mailing Telephone | 2078452231 |
| Mailing Fax Number | 2078452032 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2009-09-24 |
| Authorized Official Name | MS. JANICE LOIS NELSON (PRESIDENT) |
| Authorized Official Telephone | 20784522331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ALLS3676 | ME | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 13680000 | 05 |
| Other Name | Type Code |
|---|---|
| Washington Manor | Doing Business As Name - Organization |
| Street Address |
276 RAZORVILLE RD |
| City | WASHINGTON |
| State | ME |
| Zip Code | 04574-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881083913 | Sara Martin | Dental Hygienist | 460 Waldoboro Rd, Washington, ME 04574-3202 | 2015-01-13 |
| 1740517010 | Staci Bowman | Developmental Therapist | 121 W Washington Rd, Washington, ME 04574-3627 | 2009-11-07 |
| 1366719726 | Delphine Louise Sherin | Speech-Language Pathologist | 156 Razorville Rd, Washington, ME 04574-3816 | 2011-11-29 |
| 1104854827 | Richard P Castonguay | Social Worker | 16 Flanders Ln, Washington, ME 04574-4017 | 2006-06-29 |
| 1669927661 | Christina Casas | Pharmacist | 687 Razorville Rd, Washington, ME 04574-4216 | 2016-08-18 |
| 1578971925 | Helen Caddie-larcenia | Community Health Worker | 636 Old County Rd, Washington, ME 04574-4411 | 2014-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1033710793 | Mykeena Naylor | Technician | 7 U St Nw, Washington, DC 20001-1010 | 2020-11-07 |
| 1942801683 | Jacquise C Martin | Technician | 2801 14th St Nw Apt 303, Washington, DC 20009-4946 | 2020-11-07 |
| 1497356133 | Deonta Marcell Saleem | Technician | 2400 Hartford St Se Apt 104, Washington, DC 20020-7967 | 2020-11-07 |
| 1033710959 | Wanda H. Rappaport | Psychologist | 2440 M Street, Nw, Suite 512, Washington, DC 20037 | 2020-11-06 |
| 1811598709 | Emily Ann Brown | Nutritionist | 4316 Alabama Ave Se, Washington, DC 20019-3001 | 2020-11-05 |
| 1447851548 | Caroline Nadine Hudgens | Technician | 2412 Wagner St Se, Washington, DC 20020-3416 | 2020-11-04 |
| 1255932380 | Donald Anthony Harris | Technician | 1924 Savannah St Se, Washington, DC 20020-7535 | 2020-11-04 |
| 1528669819 | Lyndell Neal Simms | Technician | 7053 Spring Pl Nw Apt 313, Washington, DC 20012-2193 | 2020-11-04 |
| Find all providers in WASHINGTON | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609415041 | Bra Health Care Services, LLC | Assisted Living Facility | 900 K St Ne, Washington, DC 20002-3724 | 2020-01-02 |
| 1174082549 | Paradise At Georgia Ave, LLC | Assisted Living Facility | 5100 Georgia Ave Nw, Washington, DC 20011-3958 | 2019-03-15 |
| 1093282782 | Joel C. Horne & Co., Inc. | Assisted Living Facility | 1078 N Coral Canyon Blvd, Washington, UT 84780-2777 | 2018-10-31 |
| 1386164705 | Eckington House Mental Health Service LLC | Assisted Living Facility | 3030 30th St Se, Washington, DC 20020-1674 | 2017-06-27 |
| 1831596782 | Nissi Homes LLP | Assisted Living Facility | 5915 Dix St Ne, Washington, DC 20019-6968 | 2014-11-20 |
| 1366850885 | Iyeshia Anderson | Assisted Living Facility | 500 44th St Ne, Washington, DC 20019-8044 | 2014-07-28 |
| 1851729529 | 2905 Alf, LLC | Assisted Living Facility | 2905 11th St Nw, Washington, DC 20001-3903 | 2013-10-16 |
| 1265865349 | Assisted Living Centers of America,llc | Assisted Living Facility | 1717 Pennsylvania Ave Nw Ste 1025, Washington, DC 20006-3951 | 2013-08-13 |
| 1598002024 | Americare At Vicotrian Manor of Washington, LLC | Assisted Living Facility | 2701 Rabbit Trail Dr, Washington, MO 63090 | 2013-01-03 |
| 1558659029 | Victorian Manor of Washington, Inc | Assisted Living Facility | 2800 Rabbit Trail Dr, Washington, MO 63090-6737 | 2011-07-18 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 04574 |
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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.