WINDHAM RESIDENTIAL CARE FACILITY, INC (NPI# 1508100124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508100124 |
| Entity Type | Organization |
| Organization Name | WINDHAM RESIDENTIAL CARE FACILITY, INC |
| Other Organization Name | REST-A-VILLE |
| Practice Address |
497 River Rd Windham ME 04062-4603 |
| Mailing Address |
495 River Rd Windham ME 04062-4603 |
| Practice Telephone | 2078927141 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |
| Authorized Official Name | MRS. CAROL A ROGERS (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 2078927141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| REST-A-VILLE | Doing Business As Name - Organization |
| Street Address |
497 RIVER RD |
| City | WINDHAM |
| State | ME |
| Zip Code | 04062-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173878 | Lori A Fletcher | Occupational Therapist | 408 Gray Road, Windham Middle School, Windham, ME 04062 | 2013-10-22 |
| 1952631673 | Great Expectations | Early Intervention Provider Agency | 17 Veterans Memorial Drive, Windham, ME 04062 | 2009-12-31 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1245485390 | Cynthia Ann Grover | Counselor | 86 Tanenberg Trail, Smart Child and Family Services, Windham, ME 04062 | 2008-11-17 |
| 1902066277 | Edgeco LLC | Specialist | 108 Tandburg Trail, Windham, ME 04062 | 2008-06-11 |
| 1881811875 | John E. Wood | Counselor | 76 Tandberg Trl Unit 2a, Windham, ME 04062 | 2007-04-19 |
| 1184848509 | Howland W. Bickerstaff | Counselor | Danzig Counseling Services, 936 Roosevelt Trail, Windham, ME 04062 | 2007-04-13 |
| 1700953015 | Melanie P Fitzsimmons | Internal Medicine | 584 Roosevelt Trail, Windham, ME 04062 | 2006-11-29 |
| 1023109204 | Ted W Rogers | Chiropractor | 744 Roosevelt Trail, Windham Crossing Suite 205, Windham, ME 04062 | 2006-09-27 |
| 1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
| Find all providers in zip 04062 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922387109 | Caring Families, Inc | Intermediate Care Facility, Mentally Retarded | 45 Brookside Ave, Livermore Falls, ME 04254-4121 | 2011-08-05 |
| 1699903989 | United Cerebral Palsy of Northeastern Maine | Intermediate Care Facility, Mentally Retarded | 159 Hogan Rd, Bangor, ME 04401-5603 | 2009-06-25 |
| 1659569218 | Kennison Family Foster Home | Intermediate Care Facility, Mentally Retarded | 353 Greenwood Rd, Norway, ME 04268-4402 | 2007-10-09 |
| 1851437982 | Pleasant River Homestead | Intermediate Care Facility, Mentally Retarded | 380 E Side Rd, Addison, ME 04606-3217 | 2007-01-29 |
| 1023172145 | Independence Advocates of Maine, Inc. | Intermediate Care Facility, Mentally Retarded | 2 Hillside Rd, Orono, ME 04473-4459 | 2006-12-21 |
| 1649331968 | Beam, Inc | Intermediate Care Facility, Mentally Retarded | 29 South Main Street, Strong, ME 04983 | 2006-12-12 |
| 1821158981 | North Country Associates, Inc | Intermediate Care Facility, Mentally Retarded | 149 Route 201, Fairfield, ME 04937-3372 | 2006-12-11 |
| 1558505156 | John F Murphy Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 800 Center St, Auburn, ME 04210-6404 | 2009-04-27 |
| 1538303136 | John F Murphy Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 800 Center St, Auburn, ME 04210-6404 | 2009-04-27 |
| 1326282039 | Jacobs Residential Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 7 Church St, Anson, ME 04911-0322 | 2009-04-24 |
| 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.