MRS. SHIRLEY SYLVESTER CARMICHAEL (NPI# 1861620619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861620619 |
| Entity Type | Individual |
| Full Name | MRS. SHIRLEY SYLVESTER CARMICHAEL |
| Practice Address |
88 Rockland Road Jefferson ME 04348 |
| Mailing Address |
Po Box 67 Coopers Mills ME 04341-0067 |
| Practice Telephone | 2075493147 |
| Mailing Telephone | 2075493147 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 200010000 | 05 |
| Street Address |
88 ROCKLAND ROAD |
| City | JEFFERSON |
| State | ME |
| Zip Code | 04348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437387123 | Geoffrey Basinet | In Home Supportive Care | 577 Rockland Road, Somerville, ME 04348 | 2009-07-01 |
| 1144397480 | Nfi North, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 99 North Mountain Rd, Jefferson, ME 04348 | 2006-11-30 |
| 1285963066 | Lynne K Sedgwick | Speech-Language Pathologist | 57 Provost Rd., Jefferson, ME 04348-0955 | 2009-12-08 |
| 1689976300 | Penny Kochakian | Home Health Aide | 649 Patricktown Rd, Somerville, ME 04348-3035 | 2010-12-01 |
| 1477882447 | Deborah S Myers | Specialist | 15 Jones Rd, Somerville, ME 04348-3312 | 2009-12-21 |
| 1609077338 | Eldercare Network of Lincoln County | Assisted Living Facility | 77 Waldoboro Rd, Jefferson, ME 04348-3875 | 2007-05-30 |
| 1730557372 | Applied Wellness LLC | Community/Behavioral Health | 168 Waldoboro Rd, Jefferson, ME 04348-3922 | 2015-09-14 |
| 1851838635 | Nicole Mank | Social Worker | 398 Hinks Rd, Jefferson, ME 04348-4012 | 2017-01-31 |
| 1235469388 | Kristen Lombard | Registered Nurse | 329 Jones Rd, Jefferson, ME 04348-4016 | 2010-01-12 |
| 1124210406 | Daniel A. Lander | Chiropractor | 583 Augusta Rd, Jefferson, ME 04348-4038 | 2007-08-10 |
| Find all providers in zip 04348 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760752166 | C Bonds Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 79 Michelle Dr, Jefferson, GA 30549-6332 | 2012-01-03 |
| 1558501171 | Carter's Group Home, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 91 Righteous Path, Jefferson, GA 30549-7037 | 2009-02-22 |
| 1881882975 | The Magnolia School, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 119 Maine St, Jefferson, LA 70121-3707 | 2007-10-15 |
| 1154519247 | The Magnolia School, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2007 James St, Jefferson, LA 70121-2207 | 2007-10-15 |
| 1063600153 | The Magnolia School, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 333 Dodge Ave, Jefferson, LA 70121-3309 | 2007-10-15 |
| 1700074895 | The Magnolia School, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 520 Deckbar Ave, Jefferson, LA 70121-2310 | 2007-10-15 |
| 1982892063 | The Magnolia School, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 307 Shrewsbury Rd, Jefferson, LA 70121-3525 | 2007-10-15 |
| 1518155605 | The Magnolia School, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 213 Saint George Ave, Jefferson, LA 70121-3218 | 2007-10-15 |
| 1770766370 | The Magnolia School, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 100 Central Ave, Jefferson, LA 70121-3402 | 2007-12-06 |
| 1891983987 | The Magnolia School, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 575 Central Ave, Jefferson, LA 70121-1411 | 2007-10-15 |
| Find all providers in JEFFERSON | ||||
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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.