MAINEHEALTH (NPI# 1528151065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528151065 |
| Entity Type | Organization |
| Organization Name | MAINEHEALTH |
| Other Organization Name | GREGORY WING AT ST. ANDREWS VILLAGE |
| Practice Address |
145 Emery Lane Boothbay Harbor ME 04538 |
| Practice Telephone | 2076330920 |
| Practice Fax Number | 2076331211 |
| Mailing Telephone | 2076330920 |
| Mailing Fax Number | 2076331211 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | LUGENE ANTHONY INZANA (SVP FINANCE, CFO) |
| Authorized Official Telephone | 2076623538 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAINEHEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 2019 | ME | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | NPI | 1528151065 | 01 |
| ME | 1528151065-001 | 05 |
| Other Name | Type Code |
|---|---|
| Gregory Wing at St. Andrews Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558841353 | Mainehealth | Skilled Nursing Facility | 35 July St, Sanford, ME 04073-1909 | 2018-08-21 |
| 1912304205 | Mainehealth | General Acute Care Hospital | 41 Spring Hill Rd, Saco, ME 04072-9650 | 2014-12-02 |
| 1831418128 | Mainehealth | Day Training, Developmentally Disabled Services | 39 Forest Ave, Portland, ME 04101 | 2010-05-26 |
| 1295800118 | Mainehealth | Clinic/Center | Cape Jellison Road, Stockton Springs, ME 04981 | 2006-11-24 |
| 1396815106 | Mainehealth | Pharmacy | Attn: Retail Pharmacy, 6 Glen Cove Drive, Rockport, ME 04856 | 2006-11-09 |
| 1447342209 | Mainehealth | Skilled Nursing Facility | 35 July Street, Sanford, ME 04073 | 2006-09-29 |
| 1780788372 | Mainehealth | Internal Medicine | 19 West St, Portland, ME 04102 | 2006-09-12 |
| 1962496877 | Mainehealth | Skilled Nursing Facility | 6 White St, Rockland, ME 04841-2953 | 2005-09-07 |
| 1972129005 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-24 |
| 1902422561 | Mainehealth | Clinic/Center | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2020-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAINEHEALTH SERVICES | 110 Free St, Portland, ME 04101-3908 |
| Colorado Business Entities | MaineHealth, Inc. | 22 Bramhall Street, Portland, ME 04102 |
| Street Address |
145 EMERY LANE |
| City | BOOTHBAY HARBOR |
| State | ME |
| Zip Code | 04538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669569133 | Mainehealth | Alzheimer Center (Dementia Center) | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-06 |
| 1093801284 | Mainehealth | Assisted Living Facility | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235204157 | Miles Memorial Hospital | Obstetrics & Gynecology | 137b Townsend Ave, Boothbay Harbor, ME 04538 | 2006-11-24 |
| 1851331375 | Elizabeth Julia Drury | Registered Nurse | 19 St Andrew's Lane, Boothbay Harbor, ME 04538 | 2006-06-07 |
| 1730159872 | Garth A Miller Md Pa | Internal Medicine | 14 St Andrews Ln, Boothbay Harbor, ME 04538 | 2006-01-23 |
| 1275533176 | John Carl White | Emergency Medicine | Lincoln Health, 35 Miles Street, Damariscotta, ME 04538 | 2005-07-21 |
| 1760939334 | Emily Erpenbeck | Pharmacist | 223 Townsend Ave, Rite Aid, Boothbay Harbor, ME 04538 | 2016-09-01 |
| 1295820652 | St. Andrews Hospital | Home Health | 6 St. Andrews Lane, Boothbay Harbor, ME 04538-0417 | 2006-10-03 |
| 1144330432 | Dimereze Mary Clark | Dietitian, Registered | 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731 | 2006-08-30 |
| 1497313480 | Adrienne Lynn Chase | Physical Therapist | 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731 | 2019-06-04 |
| 1912565276 | Lisa Leighton | Occupational Therapist | 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731 | 2019-06-03 |
| 1972168490 | Heather Marie Brewer | Physical Therapist | 6 Saint Andrews Ln, Boothbay Harbor, ME 04538-1731 | 2019-05-09 |
| Find all providers in zip 04538 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952446 | Mainehealth | Nursing Facility/Intermediate Care Facility | 145 Emery Ln, Boothbay Harbor, ME 04538-1963 | 2018-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699073080 | Horizons Living and Rehab Center, Inc | Nursing Facility/Intermediate Care Facility | 29 Maurice Dr, Brunswick, ME 04011-3270 | 2011-03-09 |
| 1871614859 | Maple Grove Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 93 Military St, Houlton, ME 04730-2421 | 2007-04-03 |
| 1669503124 | Gardiner Health Care Facility Inc | Nursing Facility/Intermediate Care Facility | 8 Holland St, Houlton, ME 04730-1706 | 2007-03-08 |
| 1568522050 | Ledgewood Manor, Inc | Nursing Facility/Intermediate Care Facility | 200 Tandberg Trl, Windham, ME 04062-5103 | 2006-12-12 |
| 1336238039 | Eastern Maine Healthcare Systems | Nursing Facility/Intermediate Care Facility | 220 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2006-10-12 |
| 1386730414 | Elrcare Maine, LLC | Nursing Facility/Intermediate Care Facility | 15 Maine Street, Route 199, Penobscot, ME 04776 | 2006-10-05 |
| 1477648962 | Lincolnhealth Coves Edge | Nursing Facility/Intermediate Care Facility | 26 Schooner Street, Damariscotta, ME 04543 | 2006-10-03 |
| 1811093909 | Sebasticook Valley Health Care Facility Inc. | Nursing Facility/Intermediate Care Facility | 167 Leighton St, Pittsfield, ME 04967-3718 | 2006-09-15 |
| 1861481384 | Island Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 587 N Deer Isle Rd, Deer Isle, ME 04627-3438 | 2005-10-18 |
| 1366431033 | Katahdin Nursing Home | Nursing Facility/Intermediate Care Facility | 22 Walnut St, Millinocket, ME 04462-2128 | 2005-10-17 |
| Find all providers with the same taxonomy | ||||
| City | BOOTHBAY HARBOR |
| Zip Code | 04538 |
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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.