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Dover-Foxcroft Healthcare, LLC

Organization Active NPI Skilled Nursing Facility · Dover-Foxcroft, ME

NPI 1184052243 · NPPES record last updated Jul 2, 2014

Key facts

NPI
1184052243
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
37812 (ME)
Legal business name
DOVER-FOXCROFT HEALTHCARE, LLC
Practice address
1037 West Main Street
Dover-Foxcroft, ME 04106
Phone
(207) 564-8129
Fax
(207) 564-8484
NPI assigned
Oct 28, 2013
Organization subpart
No

Authorized official

Name
Jennifer I Clarke
Title
Office Manager
Phone
(207) 619-7942

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Corporate family (same tax ID) 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Nursing home

Listed as
Hibbard Skilled Nursing & Rehabilitation Center CCN 205004
Overall star rating
★★★☆☆ 3 of 5
Health inspections
★★☆☆☆ 2 of 5
Staffing
★★★★★ 5 of 5
Quality measures
★★☆☆☆ 2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1967
Medicare certification status
Active (Provider of Services file)
Certified beds
93 · 82.2 residents per day on average
Chain
First Atlantic Healthcare (10 facilities)

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0671872Hibbard Skilled Nursing Center
1037 West Main Street, Dover Foxcroft, ME 04426		Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ME

Skilled nursing facility certification: CCN 205004

Legal name
DOVER-FOXCROFT HEALTHCARE LLC
Doing business as
HIBBARD SKILLED NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1967
Last certification
Jul 11, 2024
Beds
93
Ownership / control type
Corporation
Multi-facility organization
First Atlantic Healthcare
Organization structure
LLC · Proprietary
Enrollment address
1037W Main St
Dover Foxcroft, ME 04426-3752
Nursing home name
HIBBARD SKILLED NURSING & REHABILITATION CENTER
Affiliated entity
FIRST ATLANTIC HEALTHCARE

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christine Riendeau
Individual 		Corporate Officer
VP Human Resources		 May 7, 2018 100%
Operational/Managerial Control May 7, 2018
Adp of the SNF May 7, 2018
Craig G Coffin
Individual 		5% Or Greater Indirect Ownership Interest Jun 30, 2019 66.67%
Trustee of the SNF Oct 1, 2024
Adp of the SNF Jun 30, 2019
Indirect Ownership Interest Jun 30, 2019 66.67%
Eastern Maine Medical Center
Organization · Brewer, ME
Corporation 		5% Or Greater Direct Ownership Interest Jan 1, 2019 50%
Adp of the SNF Jan 1, 2019
Direct Ownership Interest Jan 1, 2019 50%
Kenneth W Bowden
Individual 		5% Or Greater Indirect Ownership Interest Jun 30, 2019 33.33%
Trustee of the SNF Oct 1, 2024
Adp of the SNF Jun 30, 2019
Indirect Ownership Interest Jun 30, 2019 33.33%
First Atlantic Healthcare Inc
Organization · South Portland, ME
Corporation, Chain home office 		Operational/Managerial Control Nov 1, 2016
Adp of the SNF Mar 5, 2025
Fred Fridman
Individual 		Adp of the SNF Jul 11, 2024
Kimberly Bernard
Individual 		Corporate Officer
Cfo		 Oct 1, 2024 100%
Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Aaron Thomas
Individual 		Adp of the SNF Apr 1, 2024
Andrea Otis-Higgins
Individual 		Corporate Officer
Coo		 May 11, 2015 100%
Operational/Managerial Control May 11, 2015
Adp of the SNF May 11, 2015
Maine Medical Consultants PC
Organization · Portland, ME
For-profit 		Operational/Managerial Control Jul 11, 2024
Adp of the SNF Feb 20, 2025
First Atlantic Corporation
Organization · South Portland, ME
Corporation 		5% Or Greater Direct Ownership Interest Dec 1, 2013 50%
Adp of the SNF Dec 1, 2013
Direct Ownership Interest Dec 1, 2013 50%
Wanda Pelkey
Individual 		Corporate Officer
Ceo		 Oct 1, 2024 100%
Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20131220001330 ME Part a Provider - Skilled Nursing Facility 3375770233 Practice locations: Dover Foxcroft, ME

National Provider Directory

Tax ID family
Dover-Foxcroft Healthcare LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 37812 ME
Occupational Medicine Clinic/Center 261QX0100X 37812 ME
Skilled Nursing Facility 314000000X 37812 ME Yes

Addresses

Primary practice location

1037 West Main Street
Dover-Foxcroft, ME 04106

Mailing address

100 Waterman Drive
Suite 401
South Portland, ME 04106
Phone (207) 874-2700

Other names

  • Hibbard Skilled Nursing & Rehabilitation Center Doing business as

Other providers in Dover-Foxcroft, ME

All providers in Dover-Foxcroft, ME · Skilled Nursing Facility in Maine

Sources for this page

Verify at the official NPI Registry.