Birch Bay Retirement Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BIRCH BAY RETIREMENT VILLAGE

Practice address

25 Village Inn Road
Bar Harbor, ME 04609-7451

Phone

(207) 288-8014

Fax

(207) 288-8652

NPI assigned

Aug 27, 2009

Last updated

Aug 27, 2009By 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. Kristin Wright-Ottman

Title

Executive Director

Phone

(207) 288-8014

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edith Snyder Lyman, LCSW

  • Clinical Social Worker
  • Bar Harbor, ME
  • NPI 1861445900
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1144453960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 VILLAGE INN ROAD",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046097451",
            "telephone_number": "207-288-8014",
            "fax_number": "207-288-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 VILLAGE INN ROAD",
            "city": "BAR HARBOR",
            "state": "ME",
            "postal_code": "046097451",
            "telephone_number": "207-288-8014",
            "fax_number": "207-288-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH BAY RETIREMENT VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT-OTTMAN",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-288-8014",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Elizabeth Baxter, OTR/L
• Brenda J Beckett, P.A.-C
• John Benson, M.D.
• John Paul Bernhard III, MSN, ACNP-BC, RNFA
• Phoebe Best-Devenish, RNFA
• Bruce Bosinger, LCPC-C
• Milja Brecher-Demuro, LCSW
• Contessa L Brophy, LCSW-CC
• Mark O Brown, MD
• Ruby R Brown

• Assisted Living Facility in Bar Harbor, ME
• Providers in Bar Harbor, ME by specialty
• Assisted Living Facility in Maine

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