NPIMap

Organization Active NPI

Brock Health Inc

  • Assisted Living Facility
  • Machias, ME
National Provider Identifier
1033934682
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BROCK HEALTH INC
Practice address
96 Stackpole Dr
Machias, ME 04654-7008
Phone
(207) 255-6611
Fax
(207) 255-0689
NPI assigned
Nov 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Kelly Wesbrock
Title
Owner
Phone
(207) 691-5059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

96 Stackpole Dr
Machias, ME 04654-7008

Mailing address

4 Wellington Dr
Rockport, ME 04856-4019
Phone (207) 691-5059

Other names 1

  • East Point Assisted Living Other name

National Provider Directory

National Provider Directory
Tax ID family
Brock Health Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1033934682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WELLINGTON DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564019",
            "telephone_number": "207-691-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 STACKPOLE DR",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046547008",
            "telephone_number": "207-255-6611",
            "fax_number": "207-255-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "WESBROCK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-691-5059"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Point Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Machias, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.