JACOBS RESIDENTIAL CARE CENTER, INC. (NPI# 1326282039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326282039 |
| Entity Type | Organization |
| Organization Name | JACOBS RESIDENTIAL CARE CENTER, INC. |
| Practice Address |
7 Church St Anson ME 04911-0322 |
| Mailing Address |
Po Box 322 7 Church St Anson ME 04911-0322 |
| Practice Telephone | 2076964466 |
| Practice Fax Number | 2076964466 |
| Mailing Telephone | 2076964466 |
| Mailing Fax Number | 2076964466 |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |
| Authorized Official Name | MRS. MARIE S CORSON (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 2076964466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | ALLS3393 | ME | Nursing & Custodial Care Facilities |
| Street Address |
7 CHURCH ST |
| City | ANSON |
| State | ME |
| Zip Code | 04911-0322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427049402 | Anson Madison Ambulance Service | Ambulance | Arnold Lane, Anson, ME 04911 | 2005-10-31 |
| 1396292744 | Amy Manzer | Physical Therapist | 60 Hollin Waite Hill Rd, Anson, ME 04911-3417 | 2016-09-01 |
| 1790222396 | Debra Dee Turner | Registered Nurse | 118 Four Mile Square Rd, Anson, ME 04911-3818 | 2017-01-21 |
| 1477781490 | Carla Oliver | In Home Supportive Care | 182 Chicken St, Starks, ME 04911-4427 | 2009-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003328394 | Kelsey Lynn Wood | Behavior Technician | 1715 Avenue L, Anson, TX 79501-6117 | 2017-10-26 |
| 1790222396 | Debra Dee Turner | Registered Nurse | 118 Four Mile Square Rd, Anson, ME 04911-3818 | 2017-01-21 |
| 1427595040 | City of Anson | Ambulance | 219 Ave J, Anson, TX 79501-0000 | 2017-01-20 |
| 1396292744 | Amy Manzer | Physical Therapist | 60 Hollin Waite Hill Rd, Anson, ME 04911-3417 | 2016-09-01 |
| 1366803868 | Anson Independent School District | Local Education Agency (LEA) | 1431 Commercial Ave, Anson, TX 79501-5204 | 2016-03-10 |
| 1447610399 | City of Anson | Ambulance | 1314 Commercial Ave, Anson, TX 79501-4313 | 2016-03-03 |
| 1871994921 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 122 Commercial Ave, Anson, TX 79501-2000 | 2014-09-09 |
| 1023354255 | Rosemeade Place Dental Center, Pllc | Dentist | 311 Commercial Ave, Anson, TX 79501-2009 | 2012-12-15 |
| 1255600441 | Charles L Liggett Jr Md Pa | Specialist | 101 Ave J, Anson, TX 79501-2113 | 2011-12-19 |
| 1649503061 | Michelle Railyn Brewer | Physical Therapist | 1320 18th St, Anson, TX 79501-6106 | 2009-09-16 |
| Find all providers in ANSON | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508100124 | Windham Residential Care Facility, Inc | Intermediate Care Facility, Mentally Retarded | 497 River Rd, Windham, ME 04062-4603 | 2012-11-20 |
| 1922387109 | Caring Families, Inc | Intermediate Care Facility, Mentally Retarded | 45 Brookside Ave, Livermore Falls, ME 04254-4121 | 2011-08-05 |
| 1699903989 | United Cerebral Palsy of Northeastern Maine | Intermediate Care Facility, Mentally Retarded | 159 Hogan Rd, Bangor, ME 04401-5603 | 2009-06-25 |
| 1659569218 | Kennison Family Foster Home | Intermediate Care Facility, Mentally Retarded | 353 Greenwood Rd, Norway, ME 04268-4402 | 2007-10-09 |
| 1851437982 | Pleasant River Homestead | Intermediate Care Facility, Mentally Retarded | 380 E Side Rd, Addison, ME 04606-3217 | 2007-01-29 |
| 1023172145 | Independence Advocates of Maine, Inc. | Intermediate Care Facility, Mentally Retarded | 2 Hillside Rd, Orono, ME 04473-4459 | 2006-12-21 |
| 1649331968 | Beam, Inc | Intermediate Care Facility, Mentally Retarded | 29 South Main Street, Strong, ME 04983 | 2006-12-12 |
| 1821158981 | North Country Associates, Inc | Intermediate Care Facility, Mentally Retarded | 149 Route 201, Fairfield, ME 04937-3372 | 2006-12-11 |
| 1558505156 | John F Murphy Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 800 Center St, Auburn, ME 04210-6404 | 2009-04-27 |
| 1538303136 | John F Murphy Homes, Inc. | Intermediate Care Facility, Mentally Retarded | 800 Center St, Auburn, ME 04210-6404 | 2009-04-27 |
| 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.