Northbridge Avita of Stroudwater II LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

NORTHBRIDGE AVITA OF STROUDWATER II LLC

Practice address

113 Landing Rd
Westbrook, ME 04092-4094

Phone

(207) 857-9007

Fax

(207) 857-9017

NPI assigned

Mar 1, 2019

Organization subpart

Yes

Parent organization

NORTHBRIDGE AVITA OF STROUDWATER II LLCAs reported in NPPES

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

Authorized official

Name

Wendy Nowokunski

Title

President

Phone

(781) 238-4856

Specialties & licenses 1

Addresses

Other names 1

• Avita of Stroudwater Doing business as

Part of

Northbridge Avita of Stroudwater II LLC

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Billy Carlton Burge, MD

  • Family Medicine Physician
  • Saco, ME
  • NPI 1881709517
  NPD (past)
• Chelsea Lynn Burge

  • Clinical Social Worker
  • Skowhegan, ME
  • NPI 1023886868
  NPD (past)

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1063979706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LANDING RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924094",
            "telephone_number": "207-857-9007",
            "fax_number": "207-857-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LANDING RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924094",
            "telephone_number": "207-857-9007",
            "fax_number": "207-857-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBRIDGE AVITA OF STROUDWATER II LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHBRIDGE AVITA OF STROUDWATER II LLC",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "NOWOKUNSKI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-238-4856"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avita of Stroudwater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New-Day House
• Kaihlil Nigro, LMT
• Alyssa Rand Nile, LCSW
• Noblepath
• North Star Alignment LLC
• Haley Elizabeth Norton, FNP
• Kristen Marie Noyes, FNP
• NR Maine LLC
• Nu Transcription Inc
• Matthew Glenn O'Brien, PT, DPT

• Alzheimer Center (Dementia Center) in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Alzheimer Center (Dementia Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.