Active NPI
Mainehealth
Doing business as Assisted Living at St. Andrews Village
- Assisted Living Facility
- Boothbay Harbor, ME
National Provider Identifier
1093801284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- ALLS1758
- Legal business name
- MAINEHEALTH
- Doing business as
- Assisted Living at St. Andrews Village
- Practice address
- 145 Emery Lane
Boothbay Harbor, ME 04538 - Phone
- (207) 633-0920
- Fax
- (207) 633-1211
- NPI assigned
- Oct 5, 2006
- Last updated
- Sep 8, 2020
- Organization subpart
- Yes
- Parent organization
- MAINEHEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wayne Printy
- Title
- Cfo
- Phone
- (207) 563-4476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALLS1758 | ME | Primary |
Addresses
Primary practice location
145 Emery Lane
Boothbay Harbor, ME 04538
Mailing address
145 Emery Lane
Boothbay Harbor, ME 04538
Phone (207) 633-0920
Other names 1
- Assisted Living at St. Andrews Village
National Provider Directory
National Provider Directory- Tax ID family
- Maine Medical Assoc
- Part of
- Maine Medical Assoc
Organizations with this tax ID in the same state 22
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba MaineHealth Stephens Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Norway, ME
- NPI 1013753656
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
-
dba MaineHealth Primary Care Family Medicine
- General Acute Care Hospital
- Brunswick, ME
- NPI 1033038773
-
dba MaineHealth Primary Care Internal Medicine
- General Acute Care Hospital
- Bath, ME
- NPI 1083533723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599523200000",
"number": "1093801284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 EMERY LANE",
"city": "BOOTHBAY HARBOR",
"state": "ME",
"postal_code": "04538",
"telephone_number": "207-633-0920",
"fax_number": "207-633-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 EMERY LANE",
"city": "BOOTHBAY HARBOR",
"state": "ME",
"postal_code": "04538",
"telephone_number": "207-633-0920",
"fax_number": "207-633-1211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINEHEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAINEHEALTH",
"enumeration_date": "2006-10-05",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A",
"authorized_official_last_name": "PRINTY",
"authorized_official_first_name": "WAYNE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "207-563-4476"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "ME",
"license": "ALLS1758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Assisted Living at St. Andrews Village",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Assisted Living at St. Andrews Village",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Boothbay Harbor, ME
- James King, PHARMD
- Lisa Leighton, OTR/L
- Lincolnhealth
- Lincolnhealth (St. Andrews Family Care Center RHC)
- Wiley B Macleod, MOTR/L
- Mainehealth (Safe Haven at St. Andrews Village)
- Mainehealth (Gregory Wing at St. Andrews Village)
- Mainehealth (Safe Havens at St. Andrews Village)
- Mainehealth (Gregory Wing at St. Andrews Village)
- Mainehealth (MaineHealth John F Andrews Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.