Active NPI
Elr Care Maine LLC
Doing business as Gray Manor
- Assisted Living Facility
- Gray, ME
National Provider Identifier
1174767248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- ALLS3256
- Legal business name
- ELR CARE MAINE LLC
- Doing business as
- Gray Manor
- Practice address
- 9 Lewiston Road
Gray, ME 04039-9534 - Phone
- (207) 657-4949
- Fax
- (207) 657-4950
- NPI assigned
- Apr 21, 2009
- Organization subpart
- Yes
- Parent organization
- ELR CARE MAINE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Tyler
- Title
- Receiver
- Phone
- (207) 854-2973
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALLS3256 | ME | Primary |
Addresses
Primary practice location
9 Lewiston Road
Gray, ME 04039-9534
Mailing address
9 Lewiston Road
Gray, ME 04039
Phone (207) 657-4949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405380003 | Medicaid | ME |
Other names 1
- Gray Manor
National Provider Directory
National Provider Directory- Tax ID family
- Elrcare Maine LLC
- Part of
- Elrcare Maine LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
Locations
9 Lewiston Rd
Gray, ME 04039
Phone (207) 657-4949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280793600000",
"number": "1174767248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 LEWISTON ROAD",
"city": "GRAY",
"state": "ME",
"postal_code": "04039",
"telephone_number": "207-657-4949",
"fax_number": "207-657-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 LEWISTON ROAD",
"city": "GRAY",
"state": "ME",
"postal_code": "040399534",
"telephone_number": "207-657-4949",
"fax_number": "207-657-4950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELR CARE MAINE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ELR CARE MAINE LLC",
"enumeration_date": "2009-04-21",
"last_updated": "2010-08-03",
"status": "A",
"authorized_official_last_name": "TYLER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "RECEIVER",
"authorized_official_telephone_number": "207-854-2973",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "ME",
"license": "ALLS3256",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405380003",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Gray Manor",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gray, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.