Constance Jones

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

CONSTANCE JONES

Practice address

2 Waterfront LN N
Boothbay, ME 04537-4438

Phone

(207) 633-5070

NPI assigned

Sep 15, 2009

Last updated

Sep 24, 2013By 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

Constance JonesNPI 1215156997

Title

Home-Base Waiver Provider

Phone

(207) 633-5070

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Constance Jones

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Boothbay Harbor, ME
  • NPI 1215156997
  Authorized official Same address or phone

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1144553777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WATERFRONT LN N",
            "city": "BOOTHBAY",
            "state": "ME",
            "postal_code": "045374438",
            "telephone_number": "207-633-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WATERFRONT LN N",
            "city": "BOOTHBAY",
            "state": "ME",
            "postal_code": "045374438",
            "telephone_number": "207-633-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANCE JONES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "HOME-BASE WAIVER PROVIDER",
        "authorized_official_telephone_number": "207-633-5070"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431985500",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Katherine Barter, MSW-CC
• Tamara J Blackman, LCSW
• Boothbay Region Ambulance Service
• Eldercare Network of Lincoln County (Boothbay Green)
• Mid-Coast Spine & Sport
• Prevention Partners Inc
• Joseph Anthony Reardon, D.C.
• Jill Stark, DPM

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Boothbay, ME
• Providers in Boothbay, ME by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.