SIESTA HAVEN II (NPI# 1417267535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417267535 |
| Entity Type | Organization |
| Organization Name | SIESTA HAVEN II |
| Practice Address |
33 James St Bangor ME 04401-4634 |
| Mailing Address |
Po Box 3715 Brewer ME 04412-3715 |
| Practice Telephone | 2079446328 |
| Mailing Telephone | 2079446328 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |
| Authorized Official Name | MS. WENDY LAINEZ (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 2079446328 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
ALLS 4085 | ME | Nursing & Custodial Care Facilities |
| Street Address |
33 JAMES ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-4634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679014427 | Sheris Enterprises | Assisted Living Facility | 33 James St, Bangor, ME 04401-4634 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447486808 | Siesta Haven | Custodial Care Facility | 340 State St, Bangor, ME 04401-5531 | 2009-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053762567 | Anchor Senior Care Residence | Custodial Care Facility | 25 Oak Street, Springvale, ME 04083 | 2016-06-27 |
| 1982933859 | Maxine Y Roberts | Custodial Care Facility | 231 Grove Street, Lewiston, ME 04240 | 2009-12-23 |
| 1871822478 | Sisters of The Heart | Custodial Care Facility | 60 Carmel Rd S, Hampden, ME 04444-3122 | 2009-12-10 |
| 1154657401 | Rhonda E. Chambers | Custodial Care Facility | 152 South St, Calais, ME 04619-1324 | 2009-10-21 |
| 1477886711 | Lakeview Afch Inc | Custodial Care Facility | 10 E Broadway, Lincoln, ME 04457 | 2009-09-17 |
| 1447486162 | The Beacon Project | Custodial Care Facility | 131 Main Rd, Islesboro, ME 04848-4501 | 2009-06-09 |
| 1700010824 | Billie's Adult Residential Care Home P.a. | Custodial Care Facility | 8 Leonard St, Houlton, ME 04730-1708 | 2009-05-04 |
| 1427298272 | Graymoor | Custodial Care Facility | 24 Green St, Houlton, ME 04730-1637 | 2009-03-05 |
| 1679799365 | Nancy Ann Witherell | Custodial Care Facility | 22 Sandys Way, Minot, ME 04258-5021 | 2007-04-18 |
| 1639291131 | Casa, Inc | Custodial Care Facility | 741 Warren Ave, Portland, ME 04103-1007 | 2007-04-04 |
| Find all providers with the same taxonomy | ||||
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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.