Home for the Aged

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOME FOR THE AGED

Practice address

777 Stevens Avenue
Portland, ME 04103

Phone

(207) 797-7710

Fax

(207) 797-2558

NPI assigned

Dec 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Denise M Vachon, ED

Title

Executive Director

Phone

(207) 797-7710

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard T Marino Jr., M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
  • NPI 1285665828
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023171022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 STEVENS AVENUE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04103",
            "telephone_number": "207-797-7710",
            "fax_number": "207-797-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 STEVENS AVENUE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04103",
            "telephone_number": "207-797-7710",
            "fax_number": "207-797-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME FOR THE AGED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VACHON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-797-7710",
        "authorized_official_credential": "ED"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William S Holt, M.D.
• Saffron Homayoun Mirza, MD
• Home Care Connect LLC
• Home Care Plus LLC
• Home Care Residential, LLC
• Home Health Care Solutions
• Home Nursing Care LLC
• Homehaven LLC
• Harrison Noah Homer, MD
• Stephanie A Homon, RD

• Assisted Living Facility in Portland, ME
• Providers in Portland, ME by specialty
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.