COLONIAL ACRES ASSOCIATES (NPI# 1710977236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710977236 |
| Entity Type | Organization |
| Organization Name | COLONIAL ACRES ASSOCIATES |
| Practice Address |
36 Workman Ter Lincoln ME 04457-1162 |
| Practice Telephone | 2077946534 |
| Mailing Telephone | 2077946534 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2012-09-24 |
| Authorized Official Name | KENNETH BOWDEN (CEO) |
| Authorized Official Telephone | 2078742700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
36255 | ME | Ambulatory Health Care Facilities |
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
36255 | ME | Ambulatory Health Care Facilities |
| N | 235Z00000X | Speech-Language Pathologist | 36255 | ME | Speech, Language and Hearing Service Providers |
| Y | 314000000X | Skilled Nursing Facility | 2107 | ME | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 121730000 | 05 |
| Street Address |
36 WORKMAN TER |
| City | LINCOLN |
| State | ME |
| Zip Code | 04457-1162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679774 | Shea Lynn Hewitt | Occupational Therapist | 36 Workman Ter, Lincoln, ME 04457-1162 | 2020-11-05 |
| 1194345363 | Jessica Perna | Physical Therapist | 36 Workman Ter, Lincoln, ME 04457-1162 | 2020-04-17 |
| 1104462639 | Veronica Wallace-ewing | Occupational Therapist | 36 Workman Ter, Lincoln, ME 04457-1162 | 2019-11-19 |
| 1700436193 | Lisa Nicole Nguyen | Physical Therapist | 36 Workman Ter, Lincoln, ME 04457-1162 | 2019-09-17 |
| 1649827130 | Samantha Brownell | Occupational Therapist | 36 Workman Ter, Lincoln, ME 04457-1162 | 2019-08-20 |
| 1457811739 | Janet Gavalas | Physical Therapist | 36 Workman Ter, Lincoln, ME 04457-1162 | 2019-03-22 |
| 1710446257 | Thomas Benso | Physical Therapist | 36 Workman Ter, Lincoln, ME 04457-1162 | 2019-03-14 |
| 1124593710 | Katie Lorraine Krapf | Occupational Therapist | 36 Workman Ter, Lincoln, ME 04457-1162 | 2018-10-10 |
| 1992288500 | Kimberly Ws Welikadage | Occupational Therapist | 36 Workman Ter, Lincoln, ME 04457-1162 | 2018-09-10 |
| 1962985895 | Breanna Janel Bragan | Occupational Therapist | 36 Workman Ter, Lincoln, ME 04457-1162 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467928317 | Carlos Lopez & Associates LLC | Counselor | 213 W. Broadway, Lincoln, ME 04457 | 2018-10-18 |
| 1902303142 | Jennifer Harvey | Speech-Language Pathologist | 36 Workman Terrace Street, Lincoln, ME 04457 | 2018-04-12 |
| 1255714275 | Jill Bouchard | Registered Nurse | 313 Enfield Rd, Lincoln, ME 04457 | 2015-07-08 |
| 1346594769 | Total Renal Care Inc | Clinic/Center | 250 Enfield Rd, Lincoln, ME 04457 | 2012-11-07 |
| 1932429743 | Anne Marie Osolinski | Counselor | 8 Fleming Street, Suite C, Lincoln, ME 04457 | 2010-06-03 |
| 1477886711 | Lakeview Afch Inc | Custodial Care Facility | 10 E Broadway, Lincoln, ME 04457 | 2009-09-17 |
| 1326273418 | Colonial Healthcare | Assisted Living Facility | 36 Workman Terrace, Lincoln, ME 04457 | 2009-05-19 |
| 1730346743 | Mark B Weatherbee Od | Optometrist | 26 Enfield Road, Lincoln, ME 04457 | 2008-05-19 |
| 1396948139 | Alfred H. Vandine Jr. | Counselor | 313 Enfield Road, Lincoln, ME 04457 | 2007-06-08 |
| 1902024870 | Mary Catherine Goolsby | Social Worker | 313 Enfield Rd., Lincoln, ME 04457 | 2007-04-23 |
| Find all providers in zip 04457 | ||||
| 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 |
|---|---|---|---|---|
| 1013434703 | Snf Lincoln Operating Company LLC | Skilled Nursing Facility | 5431 S 16th St, Lincoln, NE 68512-1206 | 2017-08-24 |
| 1518491976 | Hillcrest Firethorn, LLC | Skilled Nursing Facility | 8601 Firethorn Lane, Lincoln, NE 68520 | 2017-04-12 |
| 1710359161 | Bsl- Bn Commons Snf Operator LLC | Skilled Nursing Facility | 3 Harvest Cir, Lincoln, MA 01773-3214 | 2015-10-26 |
| 1437546033 | Tabitha Inc | Skilled Nursing Facility | 3355 Orwell St, Lincoln, NE 68516-6624 | 2015-04-21 |
| 1205226552 | Bonnilee Anne Tyrrell | Skilled Nursing Facility | 7208 Van Dorn St, Lincoln, NE 68506-3651 | 2015-01-26 |
| 1073902128 | Laci Harper | Skilled Nursing Facility | 4800 Lonewood Dr, Lincoln, NE 68516-1464 | 2015-01-13 |
| 1477965234 | Amanda Stamm | Skilled Nursing Facility | 6040 S 58th St Ste C, Lincoln, NE 68516-3695 | 2014-05-28 |
| 1699100214 | Tabitha Inc | Skilled Nursing Facility | 6120 South 34th Street, Lincoln, NE 68516 | 2013-09-13 |
| 1306174990 | Autumn Research | Skilled Nursing Facility | 5b S Commons, Lincoln, MA 01773-1114 | 2009-11-19 |
| 1740432517 | Kimberly Lizotte | Skilled Nursing Facility | 642 River Rd, Lincoln, RI 02865-1406 | 2008-10-10 |
| Find all providers in LINCOLN | ||||
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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.