AVITA STROUDWATER, LLC (NPI# 1760816276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760816276 |
| Entity Type | Organization |
| Organization Name | AVITA STROUDWATER, LLC |
| Other Organization Name | AVITA OF STROUDWATER |
| Practice Address |
320 Spring Street Westbrook ME 04092 |
| Mailing Address |
71 3rd Ave Burlington MA 01803-4430 |
| Practice Telephone | 2078579007 |
| Practice Fax Number | 2078579017 |
| Mailing Telephone | 7812722424 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |
| Authorized Official Name | MR. SHAWN BERTRAM (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 7812722424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Avita of Stroudwater | Doing Business As Name - Organization |
| Street Address |
320 SPRING STREET |
| City | WESTBROOK |
| State | ME |
| Zip Code | 04092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529013 | Easy Life LLC | In Home Supportive Care | 77 Mechanic St, Westbrook, ME 04092 | 2017-10-17 |
| 1932644325 | Onelove Homecare, LLC | In Home Supportive Care | 24 Pike Street, Westbrook, ME 04092 | 2016-12-21 |
| 1184171613 | Conor Cannon I | Counselor | 1500 Saunders Way, 900, Westbrook, ME 04092 | 2016-09-01 |
| 1104201011 | Dana L Villmore | Physician Assistant | Intermed Onsite At Idexx, 1 Idexx Drive, Westbrook, ME 04092 | 2015-07-22 |
| 1407249147 | Allyson Bea Lowell | Social Worker | 170 Forest Street, Westbrook, ME 04092 | 2015-03-05 |
| 1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
| 1053725176 | Anita Aaltje Devine | Massage Therapist | 89 Lamb Street, Westbrook, ME 04092 | 2014-06-17 |
| 1124449806 | Spectrum Staffing Solutions LLC | In Home Supportive Care | 1 Westbrook Commons, Suite 1, Westbrook, ME 04092 | 2013-12-23 |
| 1659637742 | Kate Beever | Music Therapist | 54 West Valentine Street, Westbrook, ME 04092 | 2012-04-03 |
| 1750657292 | Sommer Cox | Counselor | 1 Delta Drive, Westbrook, ME 04092 | 2012-03-29 |
| Find all providers in zip 04092 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063979706 | Northbridge Avita of Stroudwater II LLC | Alzheimer Center (Dementia Center) | 113 Landing Rd, Westbrook, ME 04092-4094 | 2019-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710440714 | Woodlands Senior Living of Madison LLC | Alzheimer Center (Dementia Center) | 141 W River Rd Ste 400, Waterville, ME 04901-5184 | 2019-04-08 |
| 1417414152 | Northbridge Avita Wells II LLC | Alzheimer Center (Dementia Center) | 86 Sanford Rd, Wells, ME 04090-5532 | 2019-03-01 |
| 1508323247 | Northbridge Avita Brunswick II LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Ave, Brunswick, ME 04011-2700 | 2019-03-01 |
| 1891239679 | Avita Wells LLC | Alzheimer Center (Dementia Center) | 86 Sanford Road, Wells, ME 04090 | 2016-12-13 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1538615224 | Woodlands Senior Living of Farmington, LLC | Alzheimer Center (Dementia Center) | 175 Knowlton Corner Rd., Farmington, ME 04938 | 2016-09-01 |
| 1689044307 | St Joseph's Memory Care, Inc. | Alzheimer Center (Dementia Center) | 426 U.S. Route 1, Frenchville, ME 04745-0469 | 2015-10-07 |
| 1225411036 | Woodlands Senior Living of Lewiston, LLC | Alzheimer Center (Dementia Center) | 45 Mollison Way, Lewiston, ME 04240 | 2015-06-30 |
| 1487966792 | Woodlands Senior Living of Cape Elizabeth, LLC | Alzheimer Center (Dementia Center) | 126 Scott Dyer Rd, Cape Elizabeth, ME 04107-2230 | 2010-07-02 |
| 1366592461 | Mainegeneral Health Rehabilitation & Long Term Care | Alzheimer Center (Dementia Center) | 154 Dresden Ave, Gardiner, ME 04345-2615 | 2007-01-11 |
| 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.