Organization Active NPI

Family Enterprises

  • Assisted Living Facility
  • Bangor, ME
National Provider Identifier
1124771522
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FAMILY ENTERPRISES
Practice address
532 Union St
Bangor, ME 04401-3751
Phone
(207) 907-4450
Fax
(888) 460-3866
NPI assigned
Jan 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Irene Johnson
Title
Owner/Administrator
Phone
(207) 460-9303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

532 Union St
Bangor, ME 04401-3751

Mailing address

510 Lagrange Rd
Bradford, ME 04410-3226
Phone (207) 460-9303

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1124771522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 LAGRANGE RD",
            "city": "BRADFORD",
            "state": "ME",
            "postal_code": "044103226",
            "telephone_number": "207-460-9303",
            "fax_number": "888-460-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 UNION ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013751",
            "telephone_number": "207-907-4450",
            "fax_number": "888-460-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "207-460-9303"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.