JACKPOT (NPI# 1386810034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386810034 |
| Entity Type | Organization |
| Organization Name | JACKPOT |
| Other Organization Name | CASCO WELLNESS CENTER |
| Practice Address |
5 S Casco Village Rd Casco ME 04015-4246 |
| Practice Telephone | 2076552520 |
| Mailing Telephone | 2076552520 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | MRS. LORI ANN SHAW (COORDINATOR) |
| Authorized Official Telephone | 2076552520 |
| Authorized Official Credential | L.M.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT2492 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | 200719 | 01 |
| Other Name | Type Code |
|---|---|
| Casco Wellness Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | jackpot | 5517 S Newport St, Greenwood Village, CO 80111 |
| Colorado Business Entities | JACKPOT 7, INC. | 1319 W Alameda Ave, Denver, CO 80223 |
| Massachusetts Corporations | JACKPOT ALL, LLC | 629 Rt. 28, Harwich Port, MA 02646 |
| Colorado Business Entities | Jackpot Animal Training LLC | 1220 Hartford St, Colorado Springs, CO 80906 |
| Washington State Corporations | JACKPOT ARABIANS LLC | 3219 300th Ave Se, Fall City, WA 98024 |
| Vermont Business Registrations | JACKPOT BINGO | Route 14/po Box 420, So Barre, VT 05670 |
| System for Award Management (SAM) Entities | JACKPOT BISTRO LLC | 1652 Nw Fairview Dr, Gresham, OR 97030-3861 |
| Oregon Corporations, Companies and Business Names | JACKPOT BISTRO LLC | 1652 Nw Fairview Dr, Gresham, OR 97030 |
| Oregon Corporations, Companies and Business Names | JACKPOT BOOKS | 6120 Sw 124th Unit 26, Beaverton, OR 97008 |
| New York State Corporations | JACKPOT BREWING, LLC | 1209 Orange Street, Wilmington, De 19801 |
| Street Address |
5 S CASCO VILLAGE RD |
| City | CASCO |
| State | ME |
| Zip Code | 04015-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902059702 | Lori Ann Shaw | Massage Therapist | 5 S Casco Village Rd, Casco, ME 04015-4246 | 2008-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821407693 | Joyelle Martin | Social Worker | 1002 Meadow Rd, Casco, ME 04015 | 2014-08-06 |
| 1114299252 | Leanne Marie Inman | Social Worker | 1002 Meadow Road, Casco, ME 04015 | 2012-02-06 |
| 1861628208 | The Casco Inn Residential Care | Assisted Living Facility | 434 Roosevelt Trail, Casco, ME 04015 | 2009-05-29 |
| 1548495146 | Country Village Assisted Living | Assisted Living Facility | 960 Meadow Rd, Casco, ME 04015 | 2009-05-27 |
| 1841403722 | M.s.a.d. #61 | Case Management | 877 Poland Spring Rd, Casco, ME 04015 | 2007-05-08 |
| 1669685442 | M.s.a.d. #61 | Day Training, Developmentally Disabled Services | 877 Poland Spring Rd., Casco, ME 04015 | 2007-05-08 |
| 1730145251 | Town of Casco | Ambulance | 637 Meadow Rd, Casco, ME 04015 | 2006-04-24 |
| 1831598267 | Misty Marston | Social Worker | 1002 Meadow Rd, Casco, ME 04015 | 2014-08-21 |
| 1154477222 | Maine Surgical Assistants, PC | Specialist/Technologist, Other | 37 Whittier Lane, Casco, ME 04015-0343 | 2007-01-25 |
| 1689811465 | Momentum Inc | Day Training, Developmentally Disabled Services | 1059 Meadow Rd, Casco, ME 04015-3038 | 2009-01-15 |
| Find all providers in zip 04015 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902059702 | Lori Ann Shaw | Massage Therapist | 5 S Casco Village Rd, Casco, ME 04015-4246 | 2008-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992320279 | Carrie Lynne Farber | Massage Therapist | 304 Bates Street, Millinoket, ME 04462 | 2020-06-11 |
| 1265065916 | Patricia Corscaden | Massage Therapist | 61 Lewis Hill Rd, Newcastle, ME 04553-3921 | 2020-02-20 |
| 1093346199 | Alyson Kate Sylvester | Massage Therapist | 990 Minot Ave, Auburn, ME 04210-3719 | 2020-01-28 |
| 1457991630 | Holistic Health Dynamics LLC | Massage Therapist | 4 Fundy Rd Ste 103, Falmouth, ME 04105-1777 | 2020-01-15 |
| 1346880754 | Amanda Mae Thomes | Massage Therapist | 936 Roosevelt Trl Ste 2, Windham, ME 04062-5652 | 2020-01-14 |
| 1154968873 | Kristina Kokotovich | Massage Therapist | 27 State St Ste 30, Bangor, ME 04401-5141 | 2019-12-01 |
| 1790320273 | Lydia Rose Stilphen | Massage Therapist | 21 Stanwood St, Brunswick, ME 04011-2811 | 2019-11-08 |
| 1326682808 | Sarah Graham | Massage Therapist | 1 City Ctr Stop 1, Portland, ME 04101-4009 | 2019-10-29 |
| 1740823699 | Joyce Hauber | Massage Therapist | 30 Lagrange Rd, Howland, ME 04448-3743 | 2019-10-23 |
| 1558903443 | Olivia Rose Gorneau | Massage Therapist | 128 Second Street, Hallowell, ME 04347 | 2019-10-11 |
| 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.