Changing Tides Residental Care Facility

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

RCC2376 Issued in ME

Legal business name

CHANGING TIDES RESIDENTAL CARE FACILITY

Practice address

57 E Main St
Harrington, ME 04643-3041

Phone

(207) 598-8668

Fax

(207) 483-8100

NPI assigned

Dec 11, 2015

Last updated

Dec 11, 2015By 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

Tara L Skeate, CRMA, PSSNPI 1548635063

Title

Administrator

Phone

(207) 598-8668

Specialties & licenses 1

Addresses

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.

• Tara Skeate, CRMA, PSS

  • Home Health Aide
  • Harrington, ME
  • NPI 1548635063
  NPD (past) Authorized official

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1154796415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 E MAIN ST",
            "city": "HARRINGTON",
            "state": "ME",
            "postal_code": "046433041",
            "telephone_number": "207-598-8668",
            "fax_number": "207-483-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 E MAIN ST",
            "city": "HARRINGTON",
            "state": "ME",
            "postal_code": "046433041",
            "telephone_number": "207-598-8668",
            "fax_number": "207-483-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGING TIDES RESIDENTAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "SKEATE",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-598-8668",
        "authorized_official_credential": "CRMA, PSS"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "ME",
            "license": "RCC2376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Harrington, ME
• Providers in Harrington, ME by specialty
• Nursing Facility/Intermediate Care Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.