CARIBOU NURSING HOME, INC. (NPI# 1962402990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962402990 |
| Entity Type | Organization |
| Organization Name | CARIBOU NURSING HOME, INC. |
| Other Organization Name | CARIBOU REHAB AND NURSING CENTER |
| Practice Address |
10 Bernadette St Caribou ME 04736-3908 |
| Practice Telephone | 2074983102 |
| Practice Fax Number | 2074983461 |
| Mailing Telephone | 2074983102 |
| Mailing Fax Number | 2074983461 |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2014-02-20 |
| Authorized Official Name | MR. PHILIP A CYR (ADMINISTRATOR) |
| Authorized Official Telephone | 2074983102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 37946 | ME | Nursing & Custodial Care Facilities |
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 37946 | ME | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 105890000 | 05 |
| Other Name | Type Code |
|---|---|
| Caribou Rehab and Nursing Center | Doing Business As Name - Organization |
| Street Address |
10 BERNADETTE ST |
| City | CARIBOU |
| State | ME |
| Zip Code | 04736-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912370610 | Kristi Marie St. Peter | Occupational Therapist | 10 Bernadette St, Caribou, ME 04736-2038 | 2015-11-04 |
| 1417287186 | Betty Jean Gallagher | Physical Therapist | 10 Bernadette St, Caribou, ME 04736-2038 | 2010-01-01 |
| 1619110780 | Angela Robinson Howland | Occupational Therapist | 10 Bernadette St, Caribou, ME 04736-2038 | 2009-04-20 |
| 1598963258 | Bethany Chandler Marquis | Physical Therapist | 10 Bernadette St, Caribou, ME 04736-2038 | 2007-07-04 |
| 1346448164 | Matthew Hopkins | Physical Therapist | 10 Bernadette St, Caribou, ME 04736-2038 | 2007-07-03 |
| 1265639215 | Adam Neal Richardson | Occupational Therapist | 10 Bernadette St, Caribou, ME 04736-2038 | 2007-07-02 |
| 1942407846 | Candace Miriam Donovan | Occupational Therapist | 10 Bernadette St, Caribou, ME 04736-2038 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849998 | Eastern Aroostook Regional School | Local Education Agency (LEA) | 75 Glenn St, Caribou, ME 04736 | 2009-10-28 |
| 1992933675 | Philip St. Peter | In Home Supportive Care | 77 Grimes Rd, Caribou, ME 04736 | 2009-07-01 |
| 1063646982 | Cheri Melody Hayes | Occupational Therapist | 50 Page Ave, Caribou, ME 04736 | 2009-05-06 |
| 1003059189 | Maureen N. Murchison | Rehabilitation Counselor | 159 Bennett Dr Ste 201, Caribou, ME 04736 | 2009-04-20 |
| 1083864441 | Amy L. Deprey | Counselor | 43 Hatch Dr Ste 210, Caribou, ME 04736 | 2008-09-23 |
| 1043467079 | Julie M Bouchard | Physical Therapist | 118 Bennett Dr Ste 140, Caribou, ME 04736 | 2008-08-21 |
| 1770746448 | Andrea L Reid | Social Worker | 20 Old Van Buren Road, Caribou, ME 04736 | 2008-07-03 |
| 1265627863 | Aimee Victoria Mcclellan | Social Worker | 92 Bennett Drive, Caribou, ME 04736 | 2007-09-07 |
| 1245421387 | David Terry Letourneau | Specialist/Technologist | 7 Russ Street, Center for Integrated Neuro-rehab, Caribou, ME 04736 | 2007-08-05 |
| 1851512024 | Lisa Brigitte Deschenes | Physical Therapist | 10 Bernadette Street, Caribou, ME 04736 | 2007-05-02 |
| Find all providers in zip 04736 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699073080 | Horizons Living and Rehab Center, Inc | Nursing Facility/Intermediate Care Facility | 29 Maurice Dr, Brunswick, ME 04011-3270 | 2011-03-09 |
| 1871614859 | Maple Grove Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 93 Military St, Houlton, ME 04730-2421 | 2007-04-03 |
| 1669503124 | Gardiner Health Care Facility Inc | Nursing Facility/Intermediate Care Facility | 8 Holland St, Houlton, ME 04730-1706 | 2007-03-08 |
| 1568522050 | Ledgewood Manor, Inc | Nursing Facility/Intermediate Care Facility | 200 Tandberg Trl, Windham, ME 04062-5103 | 2006-12-12 |
| 1336238039 | Eastern Maine Healthcare Systems | Nursing Facility/Intermediate Care Facility | 220 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2006-10-12 |
| 1386730414 | Elrcare Maine, LLC | Nursing Facility/Intermediate Care Facility | 15 Maine Street, Route 199, Penobscot, ME 04776 | 2006-10-05 |
| 1477648962 | Lincolnhealth Coves Edge | Nursing Facility/Intermediate Care Facility | 26 Schooner Street, Damariscotta, ME 04543 | 2006-10-03 |
| 1528151065 | Mainehealth | Nursing Facility/Intermediate Care Facility | 145 Emery Lane, Boothbay Harbor, ME 04538 | 2006-10-02 |
| 1811093909 | Sebasticook Valley Health Care Facility Inc. | Nursing Facility/Intermediate Care Facility | 167 Leighton St, Pittsfield, ME 04967-3718 | 2006-09-15 |
| 1861481384 | Island Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 587 N Deer Isle Rd, Deer Isle, ME 04627-3438 | 2005-10-18 |
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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.