AVITA WELLS LLC (NPI# 1891239679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891239679 |
| Entity Type | Organization |
| Organization Name | AVITA WELLS LLC |
| Other Organization Name | AVITA OF WELLS |
| Practice Address |
86 Sanford Road Wells ME 04090 |
| Practice Telephone | 2076463444 |
| Practice Fax Number | 2076465444 |
| Mailing Telephone | 2076463444 |
| Mailing Fax Number | 2076465444 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |
| Authorized Official Name | COURTNEY FREEMAN (SENIOR EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2078440956 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHBRIDGE COMPANIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | ME | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Avita of Wells | Doing Business As Name - Organization |
| Street Address |
86 SANFORD ROAD |
| City | WELLS |
| State | ME |
| Zip Code | 04090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588811699 | Cvs State Capital, L.L.C. | Durable Medical Equipment & Medical Supplies | 11 Steeple Way, Wells, ME 04090 | 2008-08-20 |
| 1235322561 | Gregory Evan Thibeault | Physical Therapist | 112 Sanfor Road (rt. 109), Wells Physical Therapy, Wells, ME 04090 | 2007-08-21 |
| 1962604496 | Elizabeth Marie Anderson | Physical Therapist | 57 Cranberry St, Wells, ME 04090 | 2007-06-05 |
| 1285856146 | Sandra Lee Cionni | Speech-Language Pathologist | 867 Cheney Woods Road, Wells, ME 04090 | 2007-05-02 |
| 1265651814 | Wells Ogunquit Community School District | Local Education Agency (LEA) | 1460 Post Road, Wells, ME 04090 | 2007-04-24 |
| 1164649174 | Jus Crea Andrea Giammarino | Preventive Medicine | 1239 Post Road, Wells, ME 04090 | 2007-04-19 |
| 1104902188 | Caren Klein | Social Worker | 43 Sanford Rd, Wells, ME 04090 | 2006-10-31 |
| 1184700155 | Douglas Stephen Merrill | Chiropractor | 2550 Post Road, Wells, ME 04090 | 2006-10-31 |
| 1699860270 | York Hospital Dba Coastal Ob-gyn, LLC | Obstetrics & Gynecology | 112 Sanford Road, Suite 2a, Wells, ME 04090 | 2006-10-03 |
| 1467544668 | Jeffrey T Cote | Family Medicine | 59 Mile Road, Wells, ME 04090 | 2006-09-28 |
| Find all providers in zip 04090 | ||||
| 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 |
|---|---|---|---|---|
| 1417414152 | Northbridge Avita Wells II LLC | Alzheimer Center (Dementia Center) | 86 Sanford Rd, Wells, ME 04090-5532 | 2019-03-01 |
| 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 |
| 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 |
| 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 |
| 1487966792 | Woodlands Senior Living of Cape Elizabeth, LLC | Alzheimer Center (Dementia Center) | 126 Scott Dyer Rd, Cape Elizabeth, ME 04107-2230 | 2010-07-02 |
| 1366592461 | Mainegeneral Health Rehabilitation & Long Term Care | Alzheimer Center (Dementia Center) | 154 Dresden Ave, Gardiner, ME 04345-2615 | 2007-01-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AVITA WELLS LLC.
| 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.