CHARLOTTE WHITE CENTER (NPI# 1497002943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497002943 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE WHITE CENTER |
| Practice Address |
487 Garland Rd Dexter ME 04930-2652 |
| Mailing Address |
572 Bangor Rd Dover Foxcroft ME 04426-3373 |
| Practice Telephone | 2075642464 |
| Practice Fax Number | 2075642404 |
| Mailing Telephone | 2075642464 |
| Mailing Fax Number | 2075642404 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |
| Authorized Official Name | MR. RICHARD M BROWN (CEO) |
| Authorized Official Telephone | 2075642464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | ALLS 4884 | ME | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154497030 | Charlotte White Center | Community Based Residential Treatment Facility, Mental Illness | 9 Paul St, Dover Foxcroft, ME 04426-1050 | 2006-11-24 |
| 1588738082 | Charlotte White Center | Contractor | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2006-11-17 |
| 1588737985 | Charlotte White Center | Residential Treatment Facility, Emotionally Disturbed Children | 487 Garland Rd, Dexter, ME 04930-2652 | 2006-11-16 |
| 1811315062 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2014-04-04 |
| 1942526181 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2010-04-13 |
| 1003059049 | Charlotte White Center | Custodial Care Facility | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2009-04-07 |
| 1649337197 | Charlotte White Center | Clinic/Center | 59 River St, Dover Foxcroft, ME 04426-1322 | 2007-01-03 |
| 1063588606 | Charlotte White Center | Day Training, Developmentally Disabled Services | 572 Bangor Rd, Dover Foxcroft, ME 04426 | 2006-11-27 |
| 1447325733 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426 | 2006-11-21 |
| Street Address |
487 GARLAND RD |
| City | DEXTER |
| State | ME |
| Zip Code | 04930-2652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588737985 | Charlotte White Center | Residential Treatment Facility, Emotionally Disturbed Children | 487 Garland Rd, Dexter, ME 04930-2652 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740493303 | Maine School Administrative District No. 46 | Local Education Agency (LEA) | 7 Main Street, Dexter, ME 04930 | 2007-05-08 |
| 1942413539 | Maine School Administrative District No. 46 | Case Management | 7 Main Street, Dexter, ME 04930 | 2007-05-08 |
| 1346383239 | Karen Clark Staffeld | Social Worker | 14 Maple Street, Dexter, ME 04930 | 2007-02-14 |
| 1457750044 | Sonja Hall | Physical Therapist | 335 Corrina Road, Dexter, ME 04930-0212 | 2014-08-19 |
| 1205070919 | Dexter Boarding Home | Custodial Care Facility | 45 Main St, Dexter, ME 04930-1267 | 2009-04-24 |
| 1811931249 | Robert J. Lodato | Internal Medicine | 41 High St, Dexter, ME 04930-1311 | 2006-06-15 |
| 1417269242 | Lori Michelle Towne | Nurse Practitioner | 41 High St, Dexter, ME 04930-1311 | 2010-07-09 |
| 1417079039 | Mrh Corp. | Family Medicine | 51 High St, Dexter, ME 04930-1311 | 2007-04-04 |
| 1174645931 | Mrh Corp. | Internal Medicine | 41 High St, Dexter, ME 04930-1311 | 2007-04-04 |
| 1366487258 | Lisa A. Starkweather | Nurse Practitioner | 51 High St, Dexter, ME 04930-1311 | 2006-06-17 |
| Find all providers in zip 04930 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205070919 | Dexter Boarding Home | Custodial Care Facility | 45 Main St, Dexter, ME 04930-1267 | 2009-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214979 | American Home Care LLC | Custodial Care Facility | 16 Hawthorne Ln, Westbrook, ME 04092-2754 | 2020-08-04 |
| 1295979755 | Manor At Phillipstown Place Inc | Custodial Care Facility | 164 Hanson Ridge Rd, Springvale, ME 04083-5403 | 2009-04-28 |
| 1477797181 | Fairmount Boarding Home | Custodial Care Facility | 8 13th St, Bangor, ME 04401-4538 | 2009-04-24 |
| 1366600371 | Fallbrook Inc | Custodial Care Facility | 418 Raystreet, Portland, ME 04103 | 2008-05-27 |
| 1609917889 | City of Portland | Custodial Care Facility | 1145 Brighton Ave, Portland, ME 04102-1025 | 2007-02-09 |
| 1366872509 | Penquis C.a.p., Inc. | Custodial Care Facility | 262 Harlow St, Bangor, ME 04401-4952 | 2013-11-26 |
| 1649590902 | Penquis C.a.p., Inc. | Custodial Care Facility | 262 Harlow St, Bangor, ME 04401-4952 | 2010-06-09 |
| 1811227770 | Angels On High, Inc. | Custodial Care Facility | 48 High St, South Portland, ME 04106-1514 | 2009-12-28 |
| 1487898912 | H. D. Goodall Hospital, Inc. | Custodial Care Facility | 25 June St, Sanford, ME 04073-2621 | 2009-04-28 |
| 1730323262 | H. D. Goodall Hospital Inc. | Custodial Care Facility | 25 June St, Sanford, ME 04073-2621 | 2009-04-28 |
| 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.