NPIMap

Organization Active NPI

Rousseau Enterprises, Inc.

  • Assisted Living Facility
  • Lewiston, ME
National Provider Identifier
1154350700
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1983 Issued in ME
Legal business name
ROUSSEAU ENTERPRISES, INC.
Practice address
540 College St
Lewiston, ME 04240-5228
Phone
(207) 783-2039
Fax
(207) 782-0184
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
Mr. Kenneth Bowden
Title
Ceo
Phone
(207) 725-4071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1983 ME Primary

Addresses

Primary practice location

540 College St
Lewiston, ME 04240-5228

Mailing address

540 College St
Lewiston, ME 04240-5228
Phone (207) 783-2039

Other identifiers 1

IdentifierTypeStateIssuer
111890003MedicaidME

Other names 1

  • Montello Commons Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rousseau Enterprises LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1154350700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 COLLEGE ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405228",
            "telephone_number": "207-783-2039",
            "fax_number": "207-782-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 COLLEGE ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405228",
            "telephone_number": "207-783-2039",
            "fax_number": "207-782-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUSSEAU ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-725-4071",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "1983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111890003",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montello Commons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.