Ensign Boarding Home, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

ALLS3389 Issued in ME

Legal business name

ENSIGN BOARDING HOME, INC

Practice address

83 Elm Street
Hartland, ME 04943-0685

Phone

(207) 938-2020

Fax

(207) 938-3833

NPI assigned

Jun 3, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Eve Smith

Title

President

Phone

(207) 938-2020

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1033345236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 685",
            "address_2": "83 ELM STREET",
            "city": "HARTLAND",
            "state": "ME",
            "postal_code": "049430685",
            "telephone_number": "207-938-2020",
            "fax_number": "207-938-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 ELM STREET",
            "city": "HARTLAND",
            "state": "ME",
            "postal_code": "049430685",
            "telephone_number": "207-938-2020",
            "fax_number": "207-938-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSIGN BOARDING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "EVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-938-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ME",
            "license": "ALLS3389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128390000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Bisson, DPT
• Kathleen M Clark, DC
• Family Circles Healthcare LLC
• Christine Hubbard, OTD, MA, OTRL
• Richard John Huber, D.M.D.
• Roger Paul Martin, DENTURIST
• Dorathy E Moneke, FNP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hartland, ME
• Providers in Hartland, ME by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.