ROSE OF SHARON/HAVEN OF REST (NPI# 1235686239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235686239 |
| Entity Type | Organization |
| Organization Name | ROSE OF SHARON/HAVEN OF REST |
| Practice Address |
984 North Main Street Winterport ME 04496 |
| Mailing Address |
984 North Main Street Po Box 649 Winterport ME 04496 |
| Practice Telephone | 2072235528 |
| Mailing Telephone | 2072235528 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Authorized Official Name | LAURIE HALL (OWNER) |
| Authorized Official Telephone | 2072235528 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ALLS6501 | ME | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | MAINECARE | 433036601 | 01 |
| ME | 433036601 | 05 |
| Street Address |
984 NORTH MAIN STREET |
| City | WINTERPORT |
| State | ME |
| Zip Code | 04496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376948877 | Kenneth A Harvey Jr. Jr. | Social Worker | 22 Fox Run Ct, Winterport, ME 04496 | 2014-10-27 |
| 1396977021 | Danielle Marie Godley | Speech-Language Pathologist | 150 Baker Rd, Winterport, ME 04496 | 2009-08-13 |
| 1881823144 | Scott Spaulding | In Home Supportive Care | 7 Mountain View Drive, Winterport, ME 04496 | 2009-07-08 |
| 1487790523 | Natalia L. Quimby | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 46 Cove Road, Winterport, ME 04496 | 2007-01-29 |
| 1679668180 | Sunbury Primary Care, P.a. | Clinic/Center | 775 N Main Rd, Winterport, ME 04496 | 2006-10-03 |
| 1679582126 | Andrew Guppy | Physician Assistant | 775 N Main St, Winterport, ME 04496 | 2006-08-05 |
| 1700816352 | John C Hersey | Optometrist | 14 Parsonage St, Winterport, ME 04496 | 2006-07-03 |
| 1790275105 | Margaret Ray | Nurse Practitioner | 775 N Main St, Winterport, ME 04496 | 2018-05-11 |
| 1093136871 | Penobscot Community Health Center | Family Medicine | 775 N Main St, Winterport, ME 04496 | 2013-12-23 |
| 1205803004 | Winterport Fire & Rescue Association | Ambulance | 204 Main St, Winterport, ME 04496-0409 | 2006-03-01 |
| Find all providers in zip 04496 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760511786 | Laurie Ann Hall | Assisted Living Facility | 984 N Main St, Winterport, ME 04496-3404 | 2007-03-05 |
| 1356670624 | Homes of Revival Inc. | Assisted Living Facility | 984 N Main St, Winterport, ME 04496-3404 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
| City | WINTERPORT |
| Zip Code | 04496 |
Please comment or provide details below to improve the information on ROSE OF SHARON/HAVEN OF REST.
| 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.