VK BREWER, LLC (NPI# 1649510058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649510058 |
| Entity Type | Organization |
| Organization Name | VK BREWER, LLC |
| Other Organization Name | BREWER CENTER FOR HEALTH & REHABILITATION LLC |
| Practice Address |
74 Parkway S Brewer ME 04412-1628 |
| Mailing Address |
46 Stauderman Ave Lynbrook NY 11563-2524 |
| Practice Telephone | 2079897300 |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2016-04-20 |
| Authorized Official Name | MR. BARRY BOKOW (VICE PRESIDENT) |
| Authorized Official Telephone | 5167054802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1649510058 | 05 |
| Other Name | Type Code |
|---|---|
| Brewer Center for Health & Rehabilitation LLC | Doing Business As Name - Organization |
| Street Address |
74 PARKWAY S |
| City | BREWER |
| State | ME |
| Zip Code | 04412-1628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033386214 | Amy L Gallant | Speech-Language Pathologist | 74 Parkway S, Brewer, ME 04412-1628 | 2008-05-15 |
| 1154942514 | Jenessa Chandler | Speech-Language Pathologist | 74 Parkway S, Brewer, ME 04412-1628 | 2020-04-27 |
| 1780204198 | Holly Joan Dyer | Occupational Therapist | 74 Parkway S, Brewer, ME 04412-1628 | 2020-04-26 |
| 1780204172 | Elizabeth L Vinal | Physical Therapy Assistant | 74 Parkway S, Brewer, ME 04412-1628 | 2020-04-25 |
| 1447870035 | Michael Ulrich | Physical Therapy Assistant | 74 Parkway S, Brewer, ME 04412-1628 | 2020-04-23 |
| 1720608375 | Whitney Lorraine Houston | Physical Therapy Assistant | 74 Parkway S, Brewer, ME 04412-1628 | 2020-04-23 |
| 1003293259 | Julie-anne Moore | Physical Therapist | 74 Parkway S, Brewer, ME 04412-1628 | 2015-04-27 |
| 1790178168 | Lindsey Macvicar | Occupational Therapist | 74 Parkway S, Brewer, ME 04412-1628 | 2015-03-10 |
| 1326431792 | Caitlin Mclellan | Occupational Therapist | 74 Parkway S, Brewer, ME 04412-1628 | 2015-03-10 |
| 1174891493 | Leah Michelle Hughes | Occupational Therapist | 74 Parkway S, Brewer, ME 04412-1628 | 2011-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| 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 |
|---|---|---|---|---|
| 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.