SOUTHERN MAINE AGENCY ON AGING (NPI# 1174759500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174759500 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MAINE AGENCY ON AGING |
| Other Organization Name | THE SAM L. COHEN CENTER |
| Practice Address |
30 Barra Rd Biddeford ME 04005-9459 |
| Mailing Address |
333 Lincoln St Saco ME 04072-3113 |
| Practice Telephone | 2072830166 |
| Practice Fax Number | 2072832470 |
| Mailing Telephone | 2072830166 |
| Mailing Fax Number | 2072832470 |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | RANDALL DAVIS (CFO/COO) |
| Authorized Official Telephone | 2073966505 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHERN MAINE AGENCY ON AGING |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
ALLS3017 | ME | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 109570000 | 05 |
| Other Name | Type Code |
|---|---|
| The Sam L. Cohen Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295961647 | Southern Maine Agency On Aging | In Home Supportive Care | 30 Barra Rd, Biddeford, ME 04005-9459 | 2009-05-29 |
| Street Address |
30 BARRA RD |
| City | BIDDEFORD |
| State | ME |
| Zip Code | 04005-9459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295961647 | Southern Maine Agency On Aging | In Home Supportive Care | 30 Barra Rd, Biddeford, ME 04005-9459 | 2009-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
| 1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
| 1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
| 1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
| 1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
| 1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
| Find all providers in zip 04005 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659899144 | Trusted Souls Adult Daycare Center, LLC | Clinic/Center | 1019 Lewiston Rd, New Gloucester, ME 04260-3412 | 2017-09-05 |
| 1740639210 | Lorrie Ann Pettengill | Clinic/Center | 24 Hoyt St, Springvale, ME 04083-1710 | 2016-06-06 |
| 1629453543 | Senior Care Center | Clinic/Center | 37 Spruce St, Suit #1, Lewiston, ME 04240-7322 | 2015-07-21 |
| 1942444906 | Robert and Mary's Place | Clinic/Center | 50 Meadow View Ln, Suite # 35, Ellsworth, ME 04605-1547 | 2009-04-21 |
| 1386885424 | Servants of The Cross | Clinic/Center | 32 Sky Hy Dr, Topsham, ME 04086-5772 | 2009-03-19 |
| 1447354576 | Redding Homes, Inc | Clinic/Center | 26 Pleasant Street, Canton, ME 04221-0636 | 2006-09-11 |
| 1013451202 | The Golden Years Adult Day Services | Clinic/Center | 24 Hoyt St, Springvale, ME 04083-1710 | 2016-12-07 |
| 1780952671 | Selah Care Center A Nj Non-profit Org | Clinic/Center | 236 Main Street, Lewiston, ME 04240 | 2011-12-06 |
| 1306071493 | City of Portland | Clinic/Center | 1145 Brighton Ave, Portland, ME 04102-1025 | 2009-05-19 |
| 1801020904 | Billie's Adult Residential Care Home P.a. | Clinic/Center | 8 Leonard St, Houlton, ME 04730-1708 | 2009-05-05 |
| 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.