EASTERN MAINE HEALTHCARE SYSTEMS (NPI# 1336238039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336238039 |
| Entity Type | Organization |
| Organization Name | EASTERN MAINE HEALTHCARE SYSTEMS |
| Other Organization Name | LAKEWOOD, A CONTINUING CARE CENTER |
| Practice Address |
220 Kennedy Memorial Dr Waterville ME 04901-4526 |
| Practice Telephone | 2078735125 |
| Practice Fax Number | 2078619967 |
| Mailing Telephone | 2078735125 |
| Mailing Fax Number | 2078619967 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | PATRICIA R BIRD (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 2078735125 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 36552 | ME | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 36552 | ME | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 117430000 | 05 |
| Other Name | Type Code |
|---|---|
| Lakewood A Continuing Care Center | Doing Business As Name - Organization |
| Lakewood, A Continuing Care Center | Doing Business As Name - Organization |
| Northern Light Continuing Care, Lakewood | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104834977 | Eastern Maine Healthcare Systems | Medicare Defined Swing Bed Unit | 364 Pritham Avenue, Greenville, ME 04441 | 2006-08-04 |
| 1265441323 | Eastern Maine Healthcare Systems | Clinic/Center | 364 Pritham Ave, Greenville, ME 04441 | 2006-08-07 |
| 1659388213 | Eastern Maine Healthcare Systems | General Acute Care Hospital | 364 Pritham Ave, Greenville, ME 04441-1129 | 2006-08-03 |
| Street Address |
220 KENNEDY MEMORIAL DR |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-4526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922635440 | Chelsea Ann Lane | Physical Therapist | 220 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2020-03-25 |
| 1528540507 | Kathryn A Mclaughlin | Occupational Therapist | 220 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2018-09-05 |
| 1457832636 | Mckenna Peat | Occupational Therapist | 220 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2018-08-24 |
| 1558611012 | Barbara Thompson | Physical Therapist | 220 Kennedy Memorial Dr, Waterville, ME 04901 | 2012-09-12 |
| 1497910798 | Hillary Lynn Polley | Physical Therapist | 220 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2008-07-25 |
| 1417124389 | Louise S Couillard | Skilled Nursing Facility | 220 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2008-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538498464 | Carla Jane Stevens | Skilled Nursing Facility | 7 Highwood Street, Waterville, ME 04901 | 2009-12-24 |
| 1760544100 | Waterville Snf Operations, LLC | Skilled Nursing Facility | 27 Cool St, Waterville, ME 04901-5221 | 2006-12-14 |
| 1649341108 | Waterville Care, LLC | Skilled Nursing Facility | 555 Anthony Wayne Trl, Waterville, OH 43566-1516 | 2006-11-13 |
| 1457391294 | Heartland of Waterville Oh, LLC | Skilled Nursing Facility | 8885 Browning Dr, Waterville, OH 43566-9701 | 2006-06-08 |
| 1831184621 | Harding Nursing Home, LLC | Skilled Nursing Facility | 220 Tower St, Waterville, NY 13480-1194 | 2005-09-17 |
| 1558845750 | Waterville Healthcare LLC | Skilled Nursing Facility | 8885 Browning Dr, Waterville, OH 43566-9701 | 2018-09-24 |
| 1972980100 | Astoria Place of Waterville LLC | Skilled Nursing Facility | 555 Anthony Wayne Trl, Waterville, OH 43566-1516 | 2015-04-27 |
| 1619362381 | Genesis Rehab Services | Skilled Nursing Facility | 27 Cool St, Waterville, ME 04901-5221 | 2015-03-31 |
| 1457688962 | Oak Grove Center | Skilled Nursing Facility | 27 Cool St, Waterville, ME 04901-5221 | 2009-11-05 |
| 1417124389 | Louise S Couillard | Skilled Nursing Facility | 220 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2008-05-09 |
| Find all providers in WATERVILLE | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
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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.