MAPLE GROVE NURSING HOME INC (NPI# 1871614859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871614859 |
| Entity Type | Organization |
| Organization Name | MAPLE GROVE NURSING HOME INC |
| Other Organization Name | MADIGAN ESTATES |
| Practice Address |
93 Military St Houlton ME 04730-2421 |
| Practice Telephone | 2075326593 |
| Practice Fax Number | 2075324456 |
| Mailing Telephone | 2075326593 |
| Mailing Fax Number | 2075324456 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-11-18 |
| Authorized Official Name | JIM BROWN (MANAGER) |
| Authorized Official Telephone | 2075326593 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 2054 | ME | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 105630000 | 05 |
| Other Name | Type Code |
|---|---|
| MADIGAN ESTATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831428531 | Maple Grove Nursing Home Inc | Custodial Care Facility | 93 Military St, Houlton, ME 04730-2421 | 2009-12-09 |
| 1982932364 | Maple Grove Nursing Home Inc | Alzheimer Center (Dementia Center) | 93 Military St, Houlton, ME 04730-2421 | 2009-11-24 |
| Street Address |
93 MILITARY ST |
| City | HOULTON |
| State | ME |
| Zip Code | 04730-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982912507 | Terri Ring | Physical Therapist | 93 Military St, Houlton, ME 04730-2421 | 2010-09-16 |
| 1184932717 | Annette Boutilier | Occupational Therapist | 93 Military St, Houlton, ME 04730-2421 | 2010-09-16 |
| 1831428531 | Maple Grove Nursing Home Inc | Custodial Care Facility | 93 Military St, Houlton, ME 04730-2421 | 2009-12-09 |
| 1982932364 | Maple Grove Nursing Home Inc | Alzheimer Center (Dementia Center) | 93 Military St, Houlton, ME 04730-2421 | 2009-11-24 |
| 1700908555 | Madigan Home Health Care Inc | Home Health | 93 Military St, Houlton, ME 04730-2421 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568924322 | Sarah Lee Lynds | Occupational Therapy Assistant | 20 Harford St, Houlton, ME 04730 | 2019-04-02 |
| 1518267715 | Jill Forest | Case Manager/Care Coordinator | 147 Hodgdon Mills Road, Hodgdon, ME 04730 | 2010-10-22 |
| 1689989097 | Miriam Carter | Speech-Language Pathologist | 65 South St., Rsu #29, Houlton, ME 04730 | 2010-08-10 |
| 1821296708 | Carl Malcolm Tingley | Physical Therapy Assistant | 342 Mcsheffery Road, Houlton, ME 04730 | 2007-07-03 |
| 1386847804 | Jennifer Ann Gooley | Physical Therapy Assistant | 94 Militay St., Madigan Estates, Holton, ME 04730 | 2007-06-11 |
| 1386783173 | Bruce Merrill Harvey | Chiropractor | 22 B Road, Houlton, ME 04730 | 2007-02-06 |
| 1225124050 | Houlton Band of Maliseet Indians | Clinic/Center | 12 Clover Circle, Houlton, ME 04730 | 2006-10-05 |
| 1205929171 | Donald P Woods | Dentist | 88 Mcsheffery Rd, Houlton, ME 04730 | 2006-10-02 |
| 1578665485 | Donald G Brushett | Family Medicine | 59 Bangor Street, Katahdin Valley Health Center, Houlton, ME 04730 | 2006-09-01 |
| 1518463470 | A New Start LLC | Social Worker | 22 North Street, Houiton, ME 04730 | 2018-03-31 |
| Find all providers in zip 04730 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669503124 | Gardiner Health Care Facility Inc | Nursing Facility/Intermediate Care Facility | 8 Holland St, Houlton, ME 04730-1706 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699073080 | Horizons Living and Rehab Center, Inc | Nursing Facility/Intermediate Care Facility | 29 Maurice Dr, Brunswick, ME 04011-3270 | 2011-03-09 |
| 1568522050 | Ledgewood Manor, Inc | Nursing Facility/Intermediate Care Facility | 200 Tandberg Trl, Windham, ME 04062-5103 | 2006-12-12 |
| 1336238039 | Eastern Maine Healthcare Systems | Nursing Facility/Intermediate Care Facility | 220 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2006-10-12 |
| 1386730414 | Elrcare Maine, LLC | Nursing Facility/Intermediate Care Facility | 15 Maine Street, Route 199, Penobscot, ME 04776 | 2006-10-05 |
| 1477648962 | Lincolnhealth Coves Edge | Nursing Facility/Intermediate Care Facility | 26 Schooner Street, Damariscotta, ME 04543 | 2006-10-03 |
| 1528151065 | Mainehealth | Nursing Facility/Intermediate Care Facility | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-02 |
| 1811093909 | Sebasticook Valley Health Care Facility Inc. | Nursing Facility/Intermediate Care Facility | 167 Leighton St, Pittsfield, ME 04967-3718 | 2006-09-15 |
| 1861481384 | Island Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 587 N Deer Isle Rd, Deer Isle, ME 04627-3438 | 2005-10-18 |
| 1366431033 | Katahdin Nursing Home | Nursing Facility/Intermediate Care Facility | 22 Walnut St, Millinocket, ME 04462-2128 | 2005-10-17 |
| 1235126442 | St. Josephs Operating Company Inc | Nursing Facility/Intermediate Care Facility | 426 Us Route 1, Frenchville, ME 04745-6155 | 2005-10-03 |
| 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.