COUNTRY VILLAGE ASSISTED LIVING (NPI# 1548495146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548495146 |
| Entity Type | Organization |
| Organization Name | COUNTRY VILLAGE ASSISTED LIVING |
| Practice Address |
960 Meadow Rd Casco ME 04015 |
| Mailing Address |
960 Meadow Rd Po Box 600 Casco ME 04015 |
| Practice Telephone | 2076277111 |
| Practice Fax Number | 2076277505 |
| Mailing Telephone | 2076277111 |
| Mailing Fax Number | 2076277505 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | MR. GARY W SYMONDS (CEO) |
| Authorized Official Telephone | 2077768382 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ALLS3439 | ME | Nursing & Custodial Care Facilities |
| Street Address |
960 MEADOW RD |
| City | CASCO |
| State | ME |
| Zip Code | 04015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437667649 | Alaimo Healthcare, LLC | Assisted Living Facility | 960 Meadow Rd, Casco, ME 04015-3316 | 2018-01-22 |
| 1487105755 | Casco Assisted Living | Assisted Living Facility | 960 Meadow Rd, Casco, ME 04015-3316 | 2016-10-20 |
| 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 |
| 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 |
| 1992929525 | Carlene B Ross | Technician | 131 Heath Rd, Casco, ME 04015-3119 | 2007-04-13 |
| Find all providers in zip 04015 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689133142 | Catch-wim LLC | Assisted Living Facility | 434 Roosevelt Trl, Casco, ME 04015-3515 | 2019-03-14 |
| 1861628208 | The Casco Inn Residential Care | Assisted Living Facility | 434 Roosevelt Trail, Casco, ME 04015 | 2009-05-29 |
| 1437667649 | Alaimo Healthcare, LLC | Assisted Living Facility | 960 Meadow Rd, Casco, ME 04015-3316 | 2018-01-22 |
| 1487105755 | Casco Assisted Living | Assisted Living Facility | 960 Meadow Rd, Casco, ME 04015-3316 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170843 | 3m Care LLC | Assisted Living Facility | 155 Presidential Way, Westbrook, ME 04092-2553 | 2020-07-01 |
| 1053948372 | Elm Enterprises | Assisted Living Facility | 169 Veazie St, Old Town, ME 04468-1440 | 2020-03-25 |
| 1134766009 | Legrand Amisi | Assisted Living Facility | 15 Ridge Rd, Westbrook, ME 04092-2521 | 2019-12-10 |
| 1497397368 | Sunrise Adult Family Home Care | Assisted Living Facility | 11 Ocean St, Jonesport, ME 04649-3376 | 2019-10-12 |
| 1508407016 | Blandina Chitalah | Assisted Living Facility | 342 Woodford St Unit 1, Portland, ME 04103-5608 | 2019-10-05 |
| 1962058024 | Bright Lantern Home Care | Assisted Living Facility | 14 Powsland St Apt 2, Portland, ME 04102-2622 | 2019-08-14 |
| 1417514829 | Atlantic Shores | Assisted Living Facility | 100 Marshville Rd, Harrington, ME 04643-3121 | 2019-05-21 |
| 1750873592 | Southern Harbor Eldercare Services | Assisted Living Facility | 12 Pulpit Harbor Road, North Haven, ME 04853 | 2018-06-06 |
| 1235628934 | Woodlands Senior Living of Farmington, LLC | Assisted Living Facility | 175 Knowlton Corner Rd, Farmington, ME 04938-6200 | 2018-05-08 |
| 1811484058 | Camden Point, Inc | Assisted Living Facility | 98 E Bridge St, Westbrook, ME 04092-3109 | 2018-04-13 |
| 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.