Organization Active NPI

Anchor Senior Care Residence

  • Adult Care Home Facility
  • Springvale, ME
National Provider Identifier
1053762567
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
ALLS 6430 Issued in ME
Legal business name
ANCHOR SENIOR CARE RESIDENCE
Practice address
25 Oak Street
Springvale, ME 04083
Phone
(207) 324-4046
Fax
(207) 324-8849
NPI assigned
Jun 27, 2016
Last updated
Jun 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Authorized official

Name
Ms. Elizabeth Iandoli-Raab, BA
Title
Owner Administrator
Phone
(207) 324-4046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X ALLS 6430 ME Primary

Addresses

Primary practice location

25 Oak Street
Springvale, ME 04083

Mailing address

25 Oak St
Springvale, ME 04083-1927
Phone (207) 324-4046

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1053762567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OAK ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831927",
            "telephone_number": "207-324-4046",
            "fax_number": "207-324-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OAK STREET",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "04083",
            "telephone_number": "207-324-4046",
            "fax_number": "207-324-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHOR SENIOR CARE RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "IANDOLI-RAAB",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "207-324-4046",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "ME",
            "license": "ALLS 6430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springvale, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.