Maine Life Care Retirement Community

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

MAINE LIFE CARE RETIREMENT COMMUNITY

Practice address

15 Piper Road
Scarborough, ME 04074-7541

Phone

(207) 883-8700

NPI assigned

Mar 27, 2015

Last updated

Mar 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Ashley

Title

Manager

Phone

(207) 799-0866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1083008098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1778",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411778",
            "telephone_number": "207-375-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PIPER ROAD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747541",
            "telephone_number": "207-883-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE LIFE CARE RETIREMENT COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-799-0866"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maine Center for Lipids & Cardiovascular Health LLC
• Maine Center of Cancer Medicine & Blood Disorders
• Maine Comprehensive Pain Management, PC
• Maine Ear Nose & Throat Center LLC (Maine Ear Center)
• Maine Home Care Solutions
• Maine Life Care Retirement Community, Inc.
• Maine Medical Partners (Maine Childrens Cancer Program)
• Maine Medical Partners (Maine Medical Partners Neurology)
• Maine Medical Partners
• Maine Medical Partners (Maine Medical Partners Primary Care)

• Gerontology Nurse Practitioner in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Gerontology Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.