Caribou Nursing Home Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

36153 Issued in ME

Legal business name

CARIBOU NURSING HOME INC

Practice address

162 Academy St
Presque Isle, ME 04769-3102

Phone

(207) 764-0145

Fax

(207) 764-7327

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Rose-Marie C Louten, MS RDNPI 1992984850

Title

Administrator

Phone

(207) 764-0145

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Presque Isle Rehab and Nursing Center Doing business as

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Caribou Nursing Home, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Caribou, ME
  • NPI 1962402990

  Member Of

  NPD member

Practitioners 2

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

• Rose Marie Cyr Louten, MS RD LD

  • Registered Dietitian
  • Presque Isle, ME
  • NPI 1992984850
  NPD Authorized official
• Carl Flynn, M.D.

  • Family Medicine Physician
  • Caribou, ME
  • NPI 1609844422
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1114920097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693102",
            "telephone_number": "207-764-0145",
            "fax_number": "207-764-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693102",
            "telephone_number": "207-764-0145",
            "fax_number": "207-764-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBOU NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "LOUTEN",
        "authorized_official_first_name": "ROSE-MARIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-764-0145",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS RD"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "ME",
            "license": "36153",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "36153",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105890001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presque Isle Rehab and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah R Cain, MHRT-CSP
• Barry L. Campbell, PA-C
• Patricia A Canavan, LCSW
• Stacee D Cantrell, LCPC
• Glenda Dee Capps, REGISTERED NURSE
• Heather Alice Caron, MSPT
• Kayla Lynn Caron, FNP
• Kathleen Case, PT
• Cassidy Orthodontics, LLC
• Donald Wayne Cassidy Jr., D.M.D.

• All providers in Presque Isle, ME
• Nursing Facility/Intermediate Care Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.