ELR CARE MAINE LLC (NPI# 1760626246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760626246 |
Entity Type | Organization |
Organization Name | ELR CARE MAINE LLC |
Other Organization Name | NORTHERN BAY RESIDENTIAL CARE |
Practice Address |
12 North Penobscot Road Penobscot ME 04476 |
Practice Telephone | 2073264344 |
Practice Fax Number | 2073269615 |
Mailing Telephone | 2073264344 |
Mailing Fax Number | 2073269615 |
Enumeration Date | 2009-04-28 |
Last Update Date | 2010-08-03 |
Authorized Official Name | MR. MICHAEL TYLER (RECEIVER) |
Authorized Official Telephone | 2078542973 |
Is Organization Subpart | Y |
Parent Organization Name | ELR CARE MAINE LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 2335 | ME | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 405380005 | 05 |
Other Name | Type Code |
---|---|
Northern Bay Residential Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891939872 | Elr Care Maine LLC | Assisted Living Facility | 888 Pond Road, Sidney, ME 04330 | 2009-04-22 |
1265676241 | Elr Care Maine LLC | Assisted Living Facility | 98 East Bridge Street, Westbrook, ME 04092-3109 | 2009-04-22 |
1528202694 | Elr Care Maine LLC | Assisted Living Facility | 327 Shusta Rd, Madison, ME 04950-4104 | 2009-04-21 |
1174767248 | Elr Care Maine LLC | Assisted Living Facility | 9 Lewiston Road, Gray, ME 04039-9534 | 2009-04-21 |
1841433976 | Elr Care Maine LLC | Assisted Living Facility | 511 Bridge St, Westbrook, ME 04092-3105 | 2009-04-20 |
Street Address |
12 NORTH PENOBSCOT ROAD |
City | PENOBSCOT |
State | ME |
Zip Code | 04476 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891117131 | Kristin M Burch | Speech-Language Pathologist | 12 North Penobscot Road, Penobscot, ME 04476 | 2014-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467723254 | Terese Swebilius | Physical Therapist | 12 N Penobscot Rd, Penobscot, ME 04476 | 2012-01-25 |
1164750345 | Penobscot Elementary School | Local Education Agency (LEA) | Number 10, Route 199, Penobscot, ME 04476 | 2009-11-25 |
1528271129 | School Union 93 | Local Education Agency (LEA) | Route 175, Penobscot, ME 04476 | 2007-05-08 |
1598762056 | Elrcare Maine LLC | Skilled Nursing Facility | 15 Main Street, Penobscot, ME 04476-0015 | 2005-06-30 |
1720328677 | Linda Joy Elliott | Physical Therapy Assistant | 608 N Penobscot Rd, Penobscot, ME 04476-3067 | 2013-02-28 |
1023316312 | Jennifer M. Tracey | Marriage & Family Therapist | 352 Bayview Rd, Penobscot, ME 04476-3606 | 2011-03-10 |
1023355831 | Andrew L. Abrams | Plastic Surgery | 142 Johnson Point Rd, Box 29, Penobscot, ME 04476-3870 | 2013-01-14 |
1073629192 | Holly Arends Murphy | Midwife | 1518 Castine Rd, Penobscot, ME 04476-4067 | 2006-08-22 |
1265554604 | Wardwell Point Whole Health | Family Medicine | Rr 1 Box 56, Wardwell Point Rd., Penobscot, ME 04476-9705 | 2007-04-05 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
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---|---|---|---|---|
1477170843 | 3m Care LLC | Assisted Living Facility | 155 Presidential Way, Westbrook, ME 04092-2553 | 2020-07-01 |
1053948372 | Elm Enterprises | Assisted Living Facility | 169 Veazie St, Old Town, ME 04468-1440 | 2020-03-25 |
1134766009 | Legrand Amisi | Assisted Living Facility | 15 Ridge Rd, Westbrook, ME 04092-2521 | 2019-12-10 |
1497397368 | Sunrise Adult Family Home Care | Assisted Living Facility | 11 Ocean St, Jonesport, ME 04649-3376 | 2019-10-12 |
1508407016 | Blandina Chitalah | Assisted Living Facility | 342 Woodford St Unit 1, Portland, ME 04103-5608 | 2019-10-05 |
1962058024 | Bright Lantern Home Care | Assisted Living Facility | 14 Powsland St Apt 2, Portland, ME 04102-2622 | 2019-08-14 |
1417514829 | Atlantic Shores | Assisted Living Facility | 100 Marshville Rd, Harrington, ME 04643-3121 | 2019-05-21 |
1689133142 | Catch-wim LLC | Assisted Living Facility | 434 Roosevelt Trl, Casco, ME 04015-3515 | 2019-03-14 |
1750873592 | Southern Harbor Eldercare Services | Assisted Living Facility | 12 Pulpit Harbor Road, North Haven, ME 04853 | 2018-06-06 |
1235628934 | Woodlands Senior Living of Farmington, LLC | Assisted Living Facility | 175 Knowlton Corner Rd, Farmington, ME 04938-6200 | 2018-05-08 |
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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.