OHI (NPI# 1558839969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558839969 |
| Entity Type | Organization |
| Organization Name | OHI |
| Practice Address |
190 Main St Ellsworth ME 04605-1919 |
| Mailing Address |
203 Maine Ave Bangor ME 04401-4331 |
| Practice Telephone | 2076051208 |
| Mailing Telephone | 2076051198 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | THOMAS JOSEPH BRANGWYNNE (A/R ADMINISTRATOR) |
| Authorized Official Telephone | 2076051198 |
| Authorized Official Credential | DO |
| Is Organization Subpart | Y |
| Parent Organization Name | OHI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427121243 | Ohi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-17 |
| 1447514526 | Ohi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 Freedom Pkwy, Hermon, ME 04401-1100 | 2012-07-03 |
| 1720153836 | Ohi | Community Based Residential Treatment Facility, Mental Illness | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-22 |
| 1457426561 | Ohi | Community/Behavioral Health | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-22 |
| 1366517476 | Ohi | Case Management | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-22 |
| 1548335656 | Ohi | Day Training, Developmentally Disabled Services | 25 Freedom Pkwy, Hermon, ME 04401-1100 | 2006-11-22 |
| 1497820807 | Ohi | Residential Treatment Facility, Emotionally Disturbed Children | 25 Freedom Pkwy, Hermon, ME 04401-1100 | 2006-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | OHI & RAHI FASHIONS INC. | 173-17 89th Avenue, Apt 1b, Jamaica, Ny 11432 |
| Vermont Business Registrations | OHI (CONNECTICUT), INC. | 200 International Circle #3500, Hunt Valley, MD 21030 |
| Vermont Business Registrations | OHI (CONNECTICUT), LLC | 200 International Circle, Suite 3500, Hunt Valley, MD 21030 |
| Indiana Business Entities | OHI (ILLINOIS), LLC | 200 International Circle, Ste 3500, Cockeysville, MD 21030-1394 |
| Iowa Business Entities | OHI (IOWA), LLC. | 303 International Circle 200, Hunt Valley, MD 21030 |
| Indiana Business Entities | OHI ASET (IN), LLC | 200 International Circle #3500, Hunt Valley, MD 21030 |
| Colorado Business Entities | OHI Asset (CO) Denver, LLC | 303 International Circle, Suite 200, Hunt Valley, MD 21030 |
| Colorado Business Entities | OHI Asset (CO) Mesa, LLC | 303 International Circle, Suite 200, Hunt Valley, MD 21030 |
| Colorado Business Entities | OHI Asset (CO,) LLC | 303 International Circle, Suite 200, Hunt Valley, MD 21030 |
| Indiana Business Entities | OHI ASSET (IN) AMERICAN VILLAGE, LLC | 200 International Circle, Ste 3500, Hunt Valley, MD 21030-1394 |
| Street Address |
190 MAIN ST |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518191675 | Washington Hancock Community Agency | Community/Behavioral Health | 248 Bucksport Road, Ellsworth, ME 04605 | 2009-05-05 |
| 1770659658 | Pierce County Dept of Human Services | Community/Behavioral Health | 412 W Kinne Street, Ellsworth, WI 54011 | 2006-11-24 |
| 1770956393 | Kidspeace National Centers of New England, Inc. | Community/Behavioral Health | 16 Kids Peace Way, Ellsworth, ME 04605-3483 | 2015-11-04 |
| 1275919003 | Western Region Recovery & Wellness Consortia | Community/Behavioral Health | 412 West Kinne Street, Ellsworth, WI 54011-0670 | 2015-08-04 |
| 1780024208 | Family Youth Integrated Counseling, Inc. | Community/Behavioral Health | 64 Church St, Ellsworth, ME 04605-1658 | 2013-06-28 |
| 1326229584 | Downeast Community Mental Health Center | Community/Behavioral Health | 10 Hancock St, Ellsworth, ME 04605-2015 | 2007-11-16 |
| 1245353796 | Bayview Center for Mental Health | Community/Behavioral Health | 5 School St, Suite 7, Ellsworth, ME 04605-1932 | 2007-04-09 |
| 1689740565 | Pierce County Dept of Human Services | Community/Behavioral Health | 412 W Kinne St, Ellsworth, WI 54011 | 2006-11-24 |
| 1376618157 | County of Pierce | Community/Behavioral Health | 412 W Kinne St, Ellsworth, WI 54011 | 2006-11-21 |
| 1346314655 | Pierce County Dept of Human Services | Community/Behavioral Health | 412 W Kinne St, Ellsworth, WI 54011 | 2006-11-20 |
| Find all providers in ELLSWORTH | ||||
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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.