KATAHDIN NURSING HOME


Address: 22 Walnut St, Millinocket, ME 04462-2128
Phone: 2077234711

KATAHDIN NURSING HOME (NPI# 1366431033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366431033
Entity Type Organization
Organization Name KATAHDIN NURSING HOME
Practice Address 22 Walnut St
Millinocket
ME 04462-2128
Practice Telephone 2077234711
Practice Fax Number 2077236704
Mailing Telephone 2077234711
Mailing Fax Number 2077236704
Enumeration Date 2005-10-17
Last Update Date 2020-08-22
Authorized Official Name MRS. MARLENE E. CAMPBELL (ADMINSTRATOR)
Authorized Official Telephone 2077234711
Authorized Official Credential ADMIN.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility 36319 ME Nursing & Custodial Care Facilities

Office Location

Street Address 22 WALNUT ST
City MILLINOCKET
State ME
Zip Code 04462-2128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003149212 Katahdin Health Care LLC Skilled Nursing Facility 22 Walnut St, Millinocket, ME 04462-2128 2009-09-08

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NPI Name Taxonomy Address Enumeration
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1285755843 Town of Millinocket Ambulance 197 Penobscot Ave, Millinocket, ME 04462 2007-04-02
1093815367 David J Shippee Optometrist 178 Central St, Millinocket, ME 04462 2006-09-25
1356627772 Andrea Byther Dietitian, Registered 200 Somerset Street, Millinocket Regional Hospital, Millinocket, ME 04462 2011-10-31
1396780326 Ann R Grunthaler Licensed Practical Nurse 180 Aroostook Ave, Millinocket, ME 04462 2006-06-16
1205838174 John J Gluscic Orthopaedic Surgery 165 Poplar St, Suite 1, Millinocket, ME 04462-1235 2005-08-11
1285827840 Nilesh K Patil Orthopaedic Surgery 165 Poplar St, Suite 1, Millinocket, ME 04462-1235 2007-08-27
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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699073080 Horizons Living and Rehab Center, Inc Nursing Facility/Intermediate Care Facility 29 Maurice Dr, Brunswick, ME 04011-3270 2011-03-09
1871614859 Maple Grove Nursing Home Inc Nursing Facility/Intermediate Care Facility 93 Military St, Houlton, ME 04730-2421 2007-04-03
1669503124 Gardiner Health Care Facility Inc Nursing Facility/Intermediate Care Facility 8 Holland St, Houlton, ME 04730-1706 2007-03-08
1568522050 Ledgewood Manor, Inc Nursing Facility/Intermediate Care Facility 200 Tandberg Trl, Windham, ME 04062-5103 2006-12-12
1336238039 Eastern Maine Healthcare Systems Nursing Facility/Intermediate Care Facility 220 Kennedy Memorial Dr, Waterville, ME 04901-4526 2006-10-12
1386730414 Elrcare Maine, LLC Nursing Facility/Intermediate Care Facility 15 Maine Street, Route 199, Penobscot, ME 04776 2006-10-05
1477648962 Lincolnhealth Coves Edge Nursing Facility/Intermediate Care Facility 26 Schooner Street, Damariscotta, ME 04543 2006-10-03
1528151065 Mainehealth Nursing Facility/Intermediate Care Facility 145 Emery Lane, Boothbay Harbor, ME 04538 2006-10-02
1811093909 Sebasticook Valley Health Care Facility Inc. Nursing Facility/Intermediate Care Facility 167 Leighton St, Pittsfield, ME 04967-3718 2006-09-15
1861481384 Island Nursing Home, Inc Nursing Facility/Intermediate Care Facility 587 N Deer Isle Rd, Deer Isle, ME 04627-3438 2005-10-18
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Competitor

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City MILLINOCKET
Zip Code 04462

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Dataset Information

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.

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