CLARK SENIOR CARE, INC (NPI# 1811449432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811449432 |
| Entity Type | Organization |
| Organization Name | CLARK SENIOR CARE, INC |
| Practice Address |
526 South St Calais ME 04619-1118 |
| Practice Telephone | 2074543709 |
| Practice Fax Number | 2074541141 |
| Mailing Telephone | 2074543709 |
| Mailing Fax Number | 2074541141 |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |
| Authorized Official Name | MRS. WENDY RAE HIGGINS (OWNER) |
| Authorized Official Telephone | 2072143300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
526 SOUTH ST |
| City | CALAIS |
| State | ME |
| Zip Code | 04619-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659501534 | Clark Senior Care,inc | Custodial Care Facility | 526 South St, Calais, ME 04619-1118 | 2009-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554209 | Jahoon Koo | Nurse Practitioner | 24 Hospital Lane Calais, Calais, ME 04619 | 2018-07-17 |
| 1114458080 | Helpinghand 643939nbltd | Homemaker | 295 North Street, Calis, ME 04619 | 2017-03-23 |
| 1992063440 | Coastal Med Tech Inc | Durable Medical Equipment & Medical Supplies | 376 North Maine Street, Suite C, Calais, ME 04619 | 2012-05-02 |
| 1275820672 | Karen L Sears | Pharmacist | 223 and 233 North Street, Calais, ME 04619 | 2011-07-06 |
| 1376857458 | David L Wyman | Pharmacist | 223 and 233 North St, Rite Aid Pharmacy, Calais, ME 04619 | 2010-08-02 |
| 1902132038 | Brenda Ann Spear | Developmental Therapist | 23 Center Street, Baring Plt., ME 04619 | 2009-10-24 |
| 1285762328 | City of Calais | Clinic/Center | 34 Blue Devil Hill, Calais, ME 04619 | 2007-03-01 |
| 1467540930 | Brian Earle Thompson | Social Worker | 55 Franklin Street, Eastport Health Care, Calais, ME 04619 | 2006-10-10 |
| 1588770689 | William Robert Gould | Dentist | 399 Main Steet, Calais, ME 04619 | 2006-08-22 |
| 1588637532 | Edward C Barrera | Radiology | 24 Hospital Lane, Calais, ME 04619 | 2006-02-09 |
| Find all providers in zip 04619 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528049343 | Washington Place, LLC | Assisted Living Facility | 40 Palmer St, Calais, ME 04619-1306 | 2005-11-09 |
| 1356962096 | John Victor Chambers Sr. | Assisted Living Facility | 152 South St, Calais, ME 04619-1324 | 2020-05-05 |
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|---|---|---|---|---|
| 1477170843 | 3m Care LLC | Assisted Living Facility | 155 Presidential Way, Westbrook, ME 04092-2553 | 2020-07-01 |
| 1053948372 | Elm Enterprises | Assisted Living Facility | 169 Veazie St, Old Town, ME 04468-1440 | 2020-03-25 |
| 1134766009 | Legrand Amisi | Assisted Living Facility | 15 Ridge Rd, Westbrook, ME 04092-2521 | 2019-12-10 |
| 1497397368 | Sunrise Adult Family Home Care | Assisted Living Facility | 11 Ocean St, Jonesport, ME 04649-3376 | 2019-10-12 |
| 1508407016 | Blandina Chitalah | Assisted Living Facility | 342 Woodford St Unit 1, Portland, ME 04103-5608 | 2019-10-05 |
| 1962058024 | Bright Lantern Home Care | Assisted Living Facility | 14 Powsland St Apt 2, Portland, ME 04102-2622 | 2019-08-14 |
| 1417514829 | Atlantic Shores | Assisted Living Facility | 100 Marshville Rd, Harrington, ME 04643-3121 | 2019-05-21 |
| 1689133142 | Catch-wim LLC | Assisted Living Facility | 434 Roosevelt Trl, Casco, ME 04015-3515 | 2019-03-14 |
| 1750873592 | Southern Harbor Eldercare Services | Assisted Living Facility | 12 Pulpit Harbor Road, North Haven, ME 04853 | 2018-06-06 |
| 1235628934 | Woodlands Senior Living of Farmington, LLC | Assisted Living Facility | 175 Knowlton Corner Rd, Farmington, ME 04938-6200 | 2018-05-08 |
| 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.