Elm Enterprises

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELM ENTERPRISES

Practice address

169 Veazie St
Old Town, ME 04468-1440

Phone

(207) 812-8131

NPI assigned

Mar 25, 2020

Organization subpart

No

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

Authorized official

Name

Ellen Annette Grant

Title

Owner

Phone

(207) 812-8131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1053948372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EXETER RD",
            "city": "CORINTH",
            "state": "ME",
            "postal_code": "044273050",
            "telephone_number": "207-812-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 VEAZIE ST",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044681440",
            "telephone_number": "207-812-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELM ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-812-8131"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Dubois, PHARMACIST
• Jessica Dubois, COTA/L
• Kaitlyn Dunham, PHARMD
• Alexandria Durland, PHARMD, BSHS
• Patricia A Elliott, MD
• Jamie L Emerson, BCBA
• Celine Ferland, NP-C
• Fit Physical Therapy and Consulting Services, LLC
• Charlotte Fitzgerald
• Alice Claire Flournoy, LCPC

• Assisted Living Facility in Old Town, ME
• Providers in Old Town, 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 Mar 26, 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.