INDEPENDENT ORDER OF ODD FELLOWS (NPI# 1407841083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407841083 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT ORDER OF ODD FELLOWS |
| Other Organization Name | ODD FELLOWS' AND REBEKAHS' HOME OF MAINE |
| Practice Address |
85 Caron Ln Auburn ME 04210-4288 |
| Practice Telephone | 2077864616 |
| Practice Fax Number | 2077864064 |
| Mailing Telephone | 2077864616 |
| Mailing Fax Number | 2077864064 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN J. BOLDUC (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2077864616 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1910 | ME | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Odd Fellows' and Rebekahs' Home of Maine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700877545 | Independent Order of Odd Fellows | Durable Medical Equipment & Medical Supplies | 201 Lafayette Ave E, Mattoon, IL 61938-4641 | 2005-11-01 |
| 1063756799 | Independent Order of Odd Fellows | Durable Medical Equipment & Medical Supplies | 201 Lafayette Ave E, Mattoon, IL 61938-4641 | 2012-11-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | INDEPENDENT ORDER OF ODD FELLOWS DEPARTMENT ASSOCIATION LADIESAUXILIARY PATRIARCH MILITANT OF IOWA, INC. | P.o. Box 313, Fort Madison, IA 52627 |
| Connecticut Business Registrations | INDEPENDENT ORDER OF ODD FELLOWS HOPE ENCAMPMENT NO 26 INCORPORATED | 716 Osborn Road, Naugatuck, CT 06770 |
| Indiana Business Entities | INDEPENDENT ORDER OF ODD FELLOWS LODGE 175 INCORPORATED | 1108 N. Vincennes Ave, Petersburg, IN 47567 |
| Iowa Business Entities | INDEPENDENT ORDER OF ODD FELLOWS, DIAMOND LODGE 326 | 18708 120th Ave., Sperry, IA 52650 |
| Colorado Business Entities | INDEPENDENT ORDER OF ODD FELLOWS, GRAND JUNCTION, MESA LODGE #58 | 589 Grand Valley Dr, Grand Junction, CO 81504 |
| Street Address |
85 CARON LN |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-4288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| 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 |
|---|---|---|---|---|
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1962869461 | Seattle University | Skilled Nursing Facility | 32049 109th Pl Se, Auburn, WA 98092-2567 | 2016-01-28 |
| 1619307964 | Leota Lynn Gibson | Skilled Nursing Facility | 4642 S 282nd St, Auburn, WA 98001-1110 | 2013-11-23 |
| 1295950475 | Wesley Healthcare Inc. | Skilled Nursing Facility | 1751 Wesley Rd, Auburn, IN 46706-3647 | 2007-04-14 |
| 1811061518 | North Auburn Health LLC | Skilled Nursing Facility | 2830 I St Ne, Auburn, WA 98002-2410 | 2006-11-17 |
| 1104938976 | Madera Convalscent Hospital, Inc. | Skilled Nursing Facility | 260 Racetrack St, Auburn, CA 95603-5422 | 2006-08-31 |
| 1700806585 | Siena Care Center, LLC | Skilled Nursing Facility | 11600 Education St, Auburn, CA 95602-2468 | 2006-07-21 |
| 1235187931 | Evergreen Washington Healthcare Auburn, L.L.C. | Skilled Nursing Facility | 502 29th St Se, Auburn, WA 98002-7532 | 2006-05-04 |
| 1508828716 | Auburn Medical Investors, LLC | Skilled Nursing Facility | 14 Masonic Cir, Auburn, MA 01501-1341 | 2006-04-04 |
| 1902889215 | Auburn Community Hospital | Skilled Nursing Facility | 20 Park Ave, Auburn, NY 13021 | 2005-11-22 |
| Find all providers in AUBURN | ||||
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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.