NPIMap

Organization Active NPI

Brock Health Inc

  • Assisted Living Facility
  • Camden, ME
National Provider Identifier
1184449647
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BROCK HEALTH INC
Practice address
51 Mechanic St
Camden, ME 04843-1845
Phone
(207) 236-3600
Fax
(207) 236-3656
NPI assigned
Nov 20, 2024
Last updated
Nov 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Kelly Wesbrock
Title
Owner
Phone
(207) 691-5059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

51 Mechanic St
Camden, ME 04843-1845

Mailing address

4 Wellington Dr
Rockport, ME 04856-4019
Phone (207) 691-5059

Other names 1

  • Bella Point Camden Assisted Living Other name

National Provider Directory

National Provider Directory
Tax ID family
Brock Health Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1184449647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WELLINGTON DR",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048564019",
            "telephone_number": "207-691-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MECHANIC ST",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431845",
            "telephone_number": "207-236-3600",
            "fax_number": "207-236-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "WESBROCK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-691-5059"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Point Camden Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camden, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.