Countryside Adult Family Care Home

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

ALLS3163 Issued in ME

Legal business name

COUNTRYSIDE ADULT FAMILY CARE HOME

Practice address

1334 Long Plains Road
Buxton, ME 04093

Phone

(207) 929-5787

NPI assigned

Feb 22, 2010

Last updated

Feb 22, 2010By 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

Mrs. Nancy Tapec Atienza

Title

Administrator

Phone

(207) 929-5787

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1083936835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 LONG PLAINS RD",
            "city": "BUXTON",
            "state": "ME",
            "postal_code": "040936052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 LONG PLAINS ROAD",
            "city": "BUXTON",
            "state": "ME",
            "postal_code": "04093",
            "telephone_number": "207-929-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "ATIENZA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "TAPEC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-929-5787",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ME",
            "license": "ALLS3163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Mannion Birde Cola, DMD
• Alexander Alton Comeau, LMSW-CC
• Krystina Cook, MS, OTR/L
• Christina Corbin-Price, IPDH
• Maria Corridore, MS, OTR/L, CLT, CHT
• Countryside Adult Family Care Home
• Russell Curl, PT, DPT
• Paige Curran
• Cada Driscoll, MS, RDN, LD
• William Henry Fenn, DMD

• In Home Supportive Care Agency in Buxton, ME
• Providers in Buxton, ME by specialty
• In Home Supportive Care Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.