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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 36319 | ME | Nursing & Custodial Care Facilities |
Street Address |
22 WALNUT ST |
City | MILLINOCKET |
State | ME |
Zip Code | 04462-2128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003149212 | Katahdin Health Care LLC | Skilled Nursing Facility | 22 Walnut St, Millinocket, ME 04462-2128 | 2009-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992320279 | Carrie Lynne Farber | Massage Therapist | 304 Bates Street, Millinoket, ME 04462 | 2020-06-11 |
1053550350 | David P Johnson | Physician Assistant | 165 Poplar Street, Suite #1, Millinocket, ME 04462 | 2009-02-10 |
1760640189 | Health Access Network, Inc. | Clinic/Center | 24 Balsam Dr, Millinocket, ME 04462 | 2008-06-02 |
1972725372 | East Millinocket School Department | Local Education Agency (LEA) | 45 North Street, East Millinocket, ME 04462 | 2007-05-03 |
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 |
Find all providers in zip 04462 |
Taxonomy Code | 313M00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Nursing Facility/Intermediate Care Facility |
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. |
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 |
Find all providers with the same taxonomy |
City | MILLINOCKET |
Zip Code | 04462 |
Please comment or provide details below to improve the information on KATAHDIN NURSING HOME.
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.