Organization Active NPI

Janus Supportive Living Services Inc.

  • Assisted Living Facility
  • Washington, ME
National Provider Identifier
1154479830
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALLS3676 Issued in ME
Legal business name
JANUS SUPPORTIVE LIVING SERVICES INC.
Practice address
276 Razorville Rd
Washington, ME 04574-3817
Phone
(207) 845-2231
Fax
(207) 845-2032
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Ms. Janice Lois Nelson
Title
President
Phone
20784522331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALLS3676 ME Primary

Addresses

Primary practice location

276 Razorville Rd
Washington, ME 04574-3817

Mailing address

276 Razorville Rd
Washington, ME 04574-3817
Phone (207) 845-2231

Other identifiers 1

IdentifierTypeStateIssuer
13680000MedicaidME

Other names 1

  • Washington Manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1154479830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 RAZORVILLE RD",
            "city": "WASHINGTON",
            "state": "ME",
            "postal_code": "045743817",
            "telephone_number": "207-845-2231",
            "fax_number": "207-845-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 RAZORVILLE RD",
            "city": "WASHINGTON",
            "state": "ME",
            "postal_code": "045743817",
            "telephone_number": "207-845-2231",
            "fax_number": "207-845-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANUS SUPPORTIVE LIVING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "LOIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "20784522331",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS3676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13680000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.