MAINE VETERANS' HOME (NPI# 1629043336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629043336 |
| Entity Type | Organization |
| Organization Name | MAINE VETERANS' HOME |
| Other Organization Name | MAINE VETERANS' HOMES |
| Practice Address |
163 Van Buren Rd Suite 2 Caribou ME 04736-3567 |
| Practice Telephone | 2074986074 |
| Mailing Telephone | 2074986074 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | KEVIN J BROOKS (CFO) |
| Authorized Official Telephone | 2076220075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1995 | ME | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 111920003 | 05 |
| Other Name | Type Code |
|---|---|
| Maine Veterans' Homes | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063487981 | Maine Veterans' Home | Skilled Nursing Facility | 290 Us Route 1, Scarborough, ME 04074-8370 | 2006-02-22 |
| 1942274766 | Maine Veterans' Home | Skilled Nursing Facility | 310 Cony Rd, Augusta, ME 04330-0513 | 2006-02-16 |
| 1538133491 | Maine Veterans' Home | Skilled Nursing Facility | 44 Hogan Rd, Bangor, ME 04401-5602 | 2006-02-15 |
| 1750357646 | Maine Veterans' Home | Skilled Nursing Facility | 477 High St, South Paris, ME 04281-6507 | 2006-02-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MAINE VETERANS' HOME - AUGUSTA | 310 Cony Rd, Augusta, ME 04330-0513 |
| System for Award Management (SAM) Entities | MAINE VETERANS' HOME - CARIBOU | 163 Van Buren Rd Ste 2, Caribou, ME 04736-3567 |
| System for Award Management (SAM) Entities | MAINE VETERANS' HOME - SOUTH PARIS | 477 High St, South Paris, ME 04281-6507 |
| Street Address |
163 VAN BUREN RD SUITE 2 |
| City | CARIBOU |
| State | ME |
| Zip Code | 04736-3567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477548402 | Robert Bassett | Orthopaedic Surgery | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2005-09-15 |
| 1215541479 | Cameron Ryan Hartford | Physical Therapy Assistant | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2020-09-04 |
| 1740892322 | Letisha Leman | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2020-08-17 |
| 1083256150 | Ian Blake Sotomayor | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-10 |
| 1396387577 | Katelyn Marie Chapman | Physical Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1144862335 | Joshua Ellis Turbide | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1922640101 | Victoria Marilyn Mcintyre | Physical Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1750923942 | Mitchell Vaughn Wheeler | Physical Therapy Assistant | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2019-10-09 |
| 1265910723 | Dimas Yusuf | Internal Medicine | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2018-08-06 |
| 1386150571 | Renee Richards | Occupational Therapist | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2017-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849998 | Eastern Aroostook Regional School | Local Education Agency (LEA) | 75 Glenn St, Caribou, ME 04736 | 2009-10-28 |
| 1992933675 | Philip St. Peter | In Home Supportive Care | 77 Grimes Rd, Caribou, ME 04736 | 2009-07-01 |
| 1063646982 | Cheri Melody Hayes | Occupational Therapist | 50 Page Ave, Caribou, ME 04736 | 2009-05-06 |
| 1003059189 | Maureen N. Murchison | Rehabilitation Counselor | 159 Bennett Dr Ste 201, Caribou, ME 04736 | 2009-04-20 |
| 1083864441 | Amy L. Deprey | Counselor | 43 Hatch Dr Ste 210, Caribou, ME 04736 | 2008-09-23 |
| 1043467079 | Julie M Bouchard | Physical Therapist | 118 Bennett Dr Ste 140, Caribou, ME 04736 | 2008-08-21 |
| 1770746448 | Andrea L Reid | Social Worker | 20 Old Van Buren Road, Caribou, ME 04736 | 2008-07-03 |
| 1265627863 | Aimee Victoria Mcclellan | Social Worker | 92 Bennett Drive, Caribou, ME 04736 | 2007-09-07 |
| 1245421387 | David Terry Letourneau | Specialist/Technologist | 7 Russ Street, Center for Integrated Neuro-rehab, Caribou, ME 04736 | 2007-08-05 |
| 1851512024 | Lisa Brigitte Deschenes | Physical Therapist | 10 Bernadette Street, Caribou, ME 04736 | 2007-05-02 |
| Find all providers in zip 04736 | ||||
| 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 |
|---|---|---|---|---|
| 1962402990 | Caribou Nursing Home, Inc. | Skilled Nursing Facility | 10 Bernadette St, Caribou, ME 04736-3908 | 2005-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558841353 | Mainehealth | Skilled Nursing Facility | 35 July St, Sanford, ME 04073-1909 | 2018-08-21 |
| 1174906499 | Kimberly Shields | Skilled Nursing Facility | 32 Bower St, Bangor, ME 04401-4722 | 2015-07-06 |
| 1952641375 | Vk Norway, LLC | Skilled Nursing Facility | 24 Marion Ave, Norway, ME 04268-5602 | 2013-02-21 |
| 1538498464 | Carla Jane Stevens | Skilled Nursing Facility | 7 Highwood Street, Waterville, ME 04901 | 2009-12-24 |
| 1881866580 | Kittery Commons LLC | Skilled Nursing Facility | 9 Lewis Road, Kittery, ME 03904 | 2008-04-02 |
| 1790820223 | Western Maine Nursing Home Inc | Skilled Nursing Facility | 3 Market Sq, South Paris, ME 04281-1114 | 2007-02-21 |
| 1811040348 | Winthrop Manor Long Term Care & Rehab Center, Inc. | Skilled Nursing Facility | 96 Route 133, Winthrop, ME 04364-1354 | 2007-01-19 |
| 1760544100 | Waterville Snf Operations, LLC | Skilled Nursing Facility | 27 Cool St, Waterville, ME 04901-5221 | 2006-12-14 |
| 1700948122 | Lewiston Operations, LLC | Skilled Nursing Facility | 33 Roger St, Lewiston, ME 04240-3328 | 2006-12-14 |
| 1588726855 | Westbrook Operations, LLC | Skilled Nursing Facility | 300 Spring St, Westbrook, ME 04092-3915 | 2006-12-14 |
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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.