MAINEHEALTH (NPI# 1669569133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669569133 |
Entity Type | Organization |
Organization Name | MAINEHEALTH |
Other Organization Name | SAFE HAVENS AT ST. ANDREWS VILLAGE |
Practice Address |
145 Emery Lane Boothbay Harbor ME 04538 |
Practice Telephone | 2076330920 |
Practice Fax Number | 2076331211 |
Mailing Telephone | 2076330920 |
Mailing Fax Number | 2076331211 |
Enumeration Date | 2006-10-06 |
Last Update Date | 2020-09-08 |
Authorized Official Name | WAYNE PRINTY (CFO) |
Authorized Official Telephone | 2075634476 |
Is Organization Subpart | Y |
Parent Organization Name | MAINEHEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311500000X | Alzheimer Center (Dementia Center) | 2019 | ME | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 101560401 | 05 |
Other Name | Type Code |
---|---|
Safe Havens at St. Andrews Village | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558841353 | Mainehealth | Skilled Nursing Facility | 35 July St, Sanford, ME 04073-1909 | 2018-08-21 |
1912304205 | Mainehealth | General Acute Care Hospital | 41 Spring Hill Rd, Saco, ME 04072-9650 | 2014-12-02 |
1831418128 | Mainehealth | Day Training, Developmentally Disabled Services | 39 Forest Ave, Portland, ME 04101 | 2010-05-26 |
1295800118 | Mainehealth | Clinic/Center | Cape Jellison Road, Stockton Springs, ME 04981 | 2006-11-24 |
1396815106 | Mainehealth | Pharmacy | Attn: Retail Pharmacy, 6 Glen Cove Drive, Rockport, ME 04856 | 2006-11-09 |
1528151065 | Mainehealth | Nursing Facility/Intermediate Care Facility | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-02 |
1447342209 | Mainehealth | Skilled Nursing Facility | 35 July Street, Sanford, ME 04073 | 2006-09-29 |
1780788372 | Mainehealth | Internal Medicine | 19 West St, Portland, ME 04102 | 2006-09-12 |
1962496877 | Mainehealth | Skilled Nursing Facility | 6 White St, Rockland, ME 04841-2953 | 2005-09-07 |
1972129005 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MAINEHEALTH SERVICES | 110 Free St, Portland, ME 04101-3908 |
Colorado Business Entities | MaineHealth, Inc. | 22 Bramhall Street, Portland, ME 04102 |
Street Address |
145 EMERY LANE |
City | BOOTHBAY HARBOR |
State | ME |
Zip Code | 04538 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528151065 | Mainehealth | Nursing Facility/Intermediate Care Facility | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-02 |
1093801284 | Mainehealth | Assisted Living Facility | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235204157 | Miles Memorial Hospital | Obstetrics & Gynecology | 137b Townsend Ave, Boothbay Harbor, ME 04538 | 2006-11-24 |
1851331375 | Elizabeth Julia Drury | Registered Nurse | 19 St Andrew's Lane, Boothbay Harbor, ME 04538 | 2006-06-07 |
1730159872 | Garth A Miller Md Pa | Internal Medicine | 14 St Andrews Ln, Boothbay Harbor, ME 04538 | 2006-01-23 |
1275533176 | John Carl White | Emergency Medicine | Lincoln Health, 35 Miles Street, Damariscotta, ME 04538 | 2005-07-21 |
1760939334 | Emily Erpenbeck | Pharmacist | 223 Townsend Ave, Rite Aid, Boothbay Harbor, ME 04538 | 2016-09-01 |
1295820652 | St. Andrews Hospital | Home Health | 6 St. Andrews Lane, Boothbay Harbor, ME 04538-0417 | 2006-10-03 |
1144330432 | Dimereze Mary Clark | Dietitian, Registered | 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731 | 2006-08-30 |
1497313480 | Adrienne Lynn Chase | Physical Therapist | 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731 | 2019-06-04 |
1912565276 | Lisa Leighton | Occupational Therapist | 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731 | 2019-06-03 |
1972168490 | Heather Marie Brewer | Physical Therapist | 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731 | 2019-05-09 |
Find all providers in zip 04538 |
Taxonomy Code | 311500000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Alzheimer Center (Dementia Center) |
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265915912 | Mainehealth | Alzheimer Center (Dementia Center) | 145 Emery Ln, Boothbay Harbor, ME 04538-1963 | 2018-09-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710440714 | Woodlands Senior Living of Madison LLC | Alzheimer Center (Dementia Center) | 141 W River Rd Ste 400, Waterville, ME 04901-5184 | 2019-04-08 |
1417414152 | Northbridge Avita Wells II LLC | Alzheimer Center (Dementia Center) | 86 Sanford Rd, Wells, ME 04090-5532 | 2019-03-01 |
1063979706 | Northbridge Avita of Stroudwater II LLC | Alzheimer Center (Dementia Center) | 113 Landing Rd, Westbrook, ME 04092-4094 | 2019-03-01 |
1508323247 | Northbridge Avita Brunswick II LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Ave, Brunswick, ME 04011-2700 | 2019-03-01 |
1891239679 | Avita Wells LLC | Alzheimer Center (Dementia Center) | 86 Sanford Road, Wells, ME 04090 | 2016-12-13 |
1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
1538615224 | Woodlands Senior Living of Farmington, LLC | Alzheimer Center (Dementia Center) | 175 Knowlton Corner Rd., Farmington, ME 04938 | 2016-09-01 |
1689044307 | St Joseph's Memory Care, Inc. | Alzheimer Center (Dementia Center) | 426 U.S. Route 1, Frenchville, ME 04745-0469 | 2015-10-07 |
1225411036 | Woodlands Senior Living of Lewiston, LLC | Alzheimer Center (Dementia Center) | 45 Mollison Way, Lewiston, ME 04240 | 2015-06-30 |
1760816276 | Avita Stroudwater, LLC | Alzheimer Center (Dementia Center) | 320 Spring Street, Westbrook, ME 04092 | 2013-09-03 |
Find all providers with the same taxonomy |
City | BOOTHBAY HARBOR |
Zip Code | 04538 |
Please comment or provide details below to improve the information on MAINEHEALTH.
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.