NPIMap

Organization Active NPI

Woodlands Senior Living of Bridgton

  • Alzheimer Center (Dementia Center)
  • Bridgton, ME
National Provider Identifier
1194489674
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
WOODLANDS SENIOR LIVING OF BRIDGTON
Doing business as
Woodlands Memory Care of Bridgton
Practice address
210 N High Street
Bridgton, ME 04009
Phone
(207) 872-8992
Fax
(207) 872-8990
NPI assigned
Oct 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Jill A Sirois, RN
Title
Access Manager
Phone
(941) 504-0659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

210 N High Street
Bridgton, ME 04009

Mailing address

141 W River Rd Ste 300
Waterville, ME 04901-5184
Phone (941) 504-0659

Other names 1

  • Woodlands Memory Care of Bridgton Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1194489674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W RIVER RD STE 300",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015184",
            "telephone_number": "941-504-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N HIGH STREET",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "04009",
            "telephone_number": "207-872-8992",
            "fax_number": "207-872-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS SENIOR LIVING OF BRIDGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "SIROIS",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ACCESS MANAGER",
        "authorized_official_telephone_number": "941-504-0659",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands Memory Care of Bridgton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.