WINDHAM RESIDENTIAL CARE FACILITY (NPI# 1821122011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821122011 |
| Entity Type | Organization |
| Organization Name | WINDHAM RESIDENTIAL CARE FACILITY |
| Other Organization Name | CAROLS RESIDENTIAL CARE FACILITY |
| Practice Address |
478 River Rd Windham ME 04062-4605 |
| Mailing Address |
495 River Rd Windham ME 04062-4603 |
| Practice Telephone | 2078927141 |
| Practice Fax Number | 2078926131 |
| Mailing Telephone | 2078927141 |
| Mailing Fax Number | 2078926131 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-04-21 |
| Authorized Official Name | CAROL ANN ROGERS (OWNER ADMINISTRATOR) |
| Authorized Official Telephone | 2078927141 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | PROVIDER | 154870100 | 01 |
| Other Name | Type Code |
|---|---|
| carols residential care facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871579474 | Windham Residential Care Facility | Assisted Living Facility | 495 River Rd, Windham, ME 04062-4603 | 2005-12-16 |
| Street Address |
478 RIVER RD |
| City | WINDHAM |
| State | ME |
| Zip Code | 04062-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173878 | Lori A Fletcher | Occupational Therapist | 408 Gray Road, Windham Middle School, Windham, ME 04062 | 2013-10-22 |
| 1952631673 | Great Expectations | Early Intervention Provider Agency | 17 Veterans Memorial Drive, Windham, ME 04062 | 2009-12-31 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1245485390 | Cynthia Ann Grover | Counselor | 86 Tanenberg Trail, Smart Child and Family Services, Windham, ME 04062 | 2008-11-17 |
| 1902066277 | Edgeco LLC | Specialist | 108 Tandburg Trail, Windham, ME 04062 | 2008-06-11 |
| 1881811875 | John E. Wood | Counselor | 76 Tandberg Trl Unit 2a, Windham, ME 04062 | 2007-04-19 |
| 1184848509 | Howland W. Bickerstaff | Counselor | Danzig Counseling Services, 936 Roosevelt Trail, Windham, ME 04062 | 2007-04-13 |
| 1700953015 | Melanie P Fitzsimmons | Internal Medicine | 584 Roosevelt Trail, Windham, ME 04062 | 2006-11-29 |
| 1023109204 | Ted W Rogers | Chiropractor | 744 Roosevelt Trail, Windham Crossing Suite 205, Windham, ME 04062 | 2006-09-27 |
| 1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
| Find all providers in zip 04062 | ||||
| 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 |
|---|---|---|---|---|
| 1780050468 | Karen4elders,llc | Assisted Living Facility | 35 N Lowell Rd, Windham, NH 03087-1661 | 2015-08-17 |
| 1346543527 | Grace House of Windham | Assisted Living Facility | 23 Mammoth Rd, Windham, NH 03087-1773 | 2010-12-10 |
| 1891908794 | Terrace Communities Windham, LLC | Assisted Living Facility | 3 Church Rd, Windham, NH 03087-1640 | 2007-05-07 |
| 1871579474 | Windham Residential Care Facility | Assisted Living Facility | 495 River Rd, Windham, ME 04062-4603 | 2005-12-16 |
| 1417340613 | Warde Rehabilitation and Nursing Center | Assisted Living Facility | 21 Searles Rd, Windham, NH 03087-1203 | 2015-03-12 |
| 1558600478 | Venus Therapy Services, LLC | Assisted Living Facility | 3 Church Rd, Windham, NH 03087-1640 | 2013-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.