NPIMap

Organization Active NPI

Mainegeneral Health Rehabilitation and Long Term Care

  • Assisted Living Facility
  • Augusta, ME
National Provider Identifier
1083754295
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALLS1642 Issued in ME
Legal business name
MAINEGENERAL HEALTH REHABILITATION AND LONG TERM CARE
Practice address
1 Cony St
Augusta, ME 04330-5243
Phone
(207) 623-0840
Fax
(207) 623-6265
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Gillian Fitzgerald-Crosby
Title
Director of Revenue Cycle
Phone
(207) 861-3488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALLS1642 ME Primary

Addresses

Primary practice location

1 Cony St
Augusta, ME 04330-5243

Mailing address

1 Cony St
Augusta, ME 04330-5243
Phone (207) 623-0840

Other names 1

  • The Inn at City Hall Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2193576Inn at City Hall1 Cony Street, Augusta, ME 04330Certificate of waiverSep 22, 2026

National Provider Directory

National Provider Directory
Tax ID family
Alzheimer'S Care Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1083754295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CONY ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305243",
            "telephone_number": "207-623-0840",
            "fax_number": "207-623-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CONY ST",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305243",
            "telephone_number": "207-623-0840",
            "fax_number": "207-623-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEGENERAL HEALTH REHABILITATION AND LONG TERM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD-CROSBY",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "207-861-3488"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS1642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Inn at City Hall",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Inn at City Hall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.