NPIMap

Organization Active NPI

Maine Veterans' Home

  • Skilled Nursing Facility
  • Scarborough, ME
National Provider Identifier
1063487981
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1918 Issued in ME
Legal business name
MAINE VETERANS' HOME
Practice address
290 US Route 1
Scarborough, ME 04074-8370
Phone
(207) 883-7184
NPI assigned
Feb 22, 2006
Last updated
Jun 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Kevin J Brooks
Title
Cfo
Phone
(207) 622-0075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1918 ME Primary

Addresses

Primary practice location

290 US Route 1
Scarborough, ME 04074-8370

Mailing address

290 US Route 1
Scarborough, ME 04074-8370
Phone (207) 883-7184

Other identifiers 1

IdentifierTypeStateIssuer
111920004MedicaidME

Other names 1

  • Maine Veterans' Homes Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041202000350 ME Part A Provider - Skilled Nursing Facility 7416913397 Practice locations: Scarborough, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063487981. Details of each certification follow.

Skilled nursing facility certification: CCN 205127

Legal name
MAINE VETERANS' HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1993
Last certification
Nov 20, 2024
Beds
120
Ownership / control type
Nonprofit Corporation
Multi-facility organization
MAine Vetrans Home
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1983 in ME
Enrollment address
290 US Route 1
Scarborough, ME 04074-8370
Nursing home name
MAINE VETERANS HOME - SCARBOROUGH
Affiliated entity
MAINE VETERANS' HOME

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Maine Veterans Home - ScarboroughCCN 205127 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
120111.9 residents per day on average
Chain
Maine Veterans' Home5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
MVH Pharmacies11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patty Nutting Individual Operational/Managerial Control Jun 3, 2024
Adp of the SNF Feb 24, 2025
Brad M Klawitter Individual Corporate OfficerCeo Dec 16, 2024
David Richmond Individual Corporate Director Sep 26, 2018
Trustee of the SNF Sep 26, 2018
Heather Burr Individual Corporate Director Feb 18, 2021
Trustee of the SNF Feb 18, 2021
Katherine Welch Individual Operational/Managerial Control Nov 14, 2014
Angela Armstrong Individual Corporate Director Apr 20, 2024
Trustee of the SNF Apr 20, 2024
Emil Genest Individual Corporate Director Oct 27, 2020
Trustee of the SNF Oct 27, 2020
Samuel Collins Individual Corporate Director Jun 6, 2022
Trustee of the SNF Jun 6, 2022
Rebecca L Gagnon Individual Corporate OfficerCoo Jul 18, 2022
Michael Pooler Individual Corporate Director Apr 20, 2024
Trustee of the SNF Apr 20, 2024
Christopher Gardner Individual Corporate Director Jun 6, 2022
Trustee of the SNF Jun 6, 2022
Christine Brawn Individual Corporate Director Apr 20, 2024
Trustee of the SNF Apr 20, 2024
Kevin Brooks Individual Corporate OfficerCfo May 1, 2015
Diane Jackson Individual Corporate Director Jul 9, 2022
Trustee of the SNF Jul 9, 2022
Melanie a. Meader Individual Operational/Managerial Control Jan 30, 2023
Bridget Miller Individual Corporate Director Apr 20, 2024
Trustee of the SNF Apr 20, 2024
Donald Lagace Individual Corporate Director Oct 13, 2020
Trustee of the SNF Oct 13, 2020
Rita Kiron Kamra Individual Operational/Managerial Control Aug 28, 2016
Adp of the SNF Mar 31, 2025
Maine Veterans' Home Organization, Augusta, ME Corporation Operational/Managerial Control Mar 31, 2009
Steven Sanpedro Individual Corporate Director Jan 1, 2015
Trustee of the SNF Jan 1, 2015
Julie Schwetz Individual Corporate Director Feb 18, 2021
Trustee of the SNF Feb 18, 2021

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Maine Veterans' HomeAugusta, ME, CCN 205126 Skilled nursing facility Operational/Managerial Control Mar 31, 2009
Maine Veterans' HomeBangor, ME, CCN 205185 Skilled nursing facility Operational/Managerial Control Mar 31, 2009
Maine Veterans' HomeSouth Paris, ME, CCN 205184 Skilled nursing facility Operational/Managerial Control Mar 31, 2009
Maine Veterans' HomeCaribou, ME, CCN 205151 Skilled nursing facility Operational/Managerial Control Mar 31, 2009

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1063487981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748370",
            "telephone_number": "207-883-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748370",
            "telephone_number": "207-883-7184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE VETERANS' HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-622-0075"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "1918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111920004",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maine Veterans' Homes",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.