MID COAST GERIATRIC SERVICES CORP (NPI# 1396726501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396726501 |
Entity Type | Organization |
Organization Name | MID COAST GERIATRIC SERVICES CORP |
Practice Address |
58 Baribeau Dr Brunswick ME 04011-3218 |
Practice Telephone | 2073733638 |
Practice Fax Number | 2073733640 |
Mailing Telephone | 2073733638 |
Mailing Fax Number | 2073733640 |
Enumeration Date | 2005-11-07 |
Last Update Date | 2018-02-27 |
Authorized Official Name | ROBERT MCCUE (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 2073736028 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 1952 | ME | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 128310000 | 05 | |
ME | MEDICARE B | NG0093 | 01 |
Street Address |
58 BARIBEAU DR |
City | BRUNSWICK |
State | ME |
Zip Code | 04011-3218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194178715 | Nicola Jane Morris | Occupational Therapist | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2016-07-19 |
1548617160 | Theresa Johnson | Physical Therapist | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2016-05-24 |
1588039564 | Cynthia Knox | Occupational Therapist | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2015-12-02 |
1801277967 | Hilary Laforge | Clinic/Center | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2015-06-15 |
1861888141 | Julia M Levesque-leroy | Physical Therapist | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2015-04-13 |
1609262336 | Kim Watson | Speech-Language Pathologist | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2015-04-09 |
1992004618 | Doreen Muir Siddall | Nurse Practitioner | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2011-03-21 |
1558533216 | Veronica Kilbourn | Physical Therapist | 58 Baribeau Dr, Brunswick, ME 04011-3218 | 2008-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
Find all providers in zip 04011 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548780802 | Brunswick Health & Rehabilitation Center, Inc. | Skilled Nursing Facility | 4355 Laurel Rd, Brunswick, OH 44212 | 2017-06-27 |
1801978499 | Forum Group At Wildwood Park Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 2611 Wildwood Dr, Brunswick, GA 31520-4250 | 2006-10-20 |
1265422331 | Lightning Creek Investment Group,inc | Skilled Nursing Facility | 721 W Harrison St, Brunswick, MO 65236 | 2005-10-28 |
1477542991 | Gracemore, LLC | Skilled Nursing Facility | 2708 Lee St, Brunswick, GA 31520-4932 | 2005-10-18 |
1851380372 | Sears Nursing Home, LLC | Skilled Nursing Facility | 3311 Lee St, Brunswick, GA 31520-4120 | 2005-10-18 |
1396748612 | Progressive Rolling Hills, LLC | Skilled Nursing Facility | 4426 Homestead Dr, Brunswick, OH 44212-2506 | 2005-05-31 |
1922540848 | Jukeco Enterprises LLC | Skilled Nursing Facility | 721 W Harrison St, Brunswick, MO 65236-1096 | 2016-11-09 |
1619135464 | Southeast Georgia Health System, Inc. | Skilled Nursing Facility | 2611 Wildwood Dr, Brunswick, GA 31520-4250 | 2008-05-29 |
1609922020 | Willowood Care Center of Brunswick Inc | Skilled Nursing Facility | 1186 Hadcock Rd, Brunswick, OH 44212-3016 | 2007-01-26 |
1306869003 | Glynn-brunswick Memorial Hospital Authority | Skilled Nursing Facility | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2006-07-25 |
Find all providers in BRUNSWICK |
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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.