Haroldson Health Services LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CR 1910 Issued in ME

Legal business name

HAROLDSON HEALTH SERVICES LLC

Doing business as

Ten Lakes Chiropractic Clinic

Practice address

300 Portland Rd
Bridgton, ME 04009-4227

Phone

(207) 647-9900

NPI assigned

Jul 30, 2014

Last updated

Jul 30, 2014By 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

Michelle Eagan

Title

Sole Managing Member

Phone

(207) 647-9900

Specialties & licenses 1

Addresses

Other names 1

• Ten Lakes Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 3

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.

• Karyn Lee Hood, DC

  • Chiropractor
  • South Portland, ME
  • NPI 1962838276
  Medicare reassignment Care Compare group NPD
• Derek M Eagan, D.C.

  • Chiropractor
  • Bridgton, ME
  • NPI 1235367905
  Medicare reassignment Care Compare group
• Daniel Scott Robinson, D.C.

  • Chiropractor
  • Bangor, ME
  • NPI 1023341039
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1225446586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040090020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PORTLAND RD",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040094227",
            "telephone_number": "207-647-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLDSON HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "EAGAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SOLE MANAGING MEMBER",
        "authorized_official_telephone_number": "207-647-9900"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "CR 1910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ten Lakes Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Pond Green, PT
• Nora Jeanne Gross, LCSW
• Trisha A. Gushue, DO
• Christy Lynn Hafford
• Hannaford Bros Co LLC (Hannaford Food and Drug)
• Richard H Hart, PT
• Head and Neck Surgical Associates
• Casey Lynn Heath
• Maggie Henein, RPH
• Robert Hinds

• Chiropractor in Bridgton, ME
• Providers in Bridgton, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.