Rose of Sharon/Haven of Rest

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALLS6501 Issued in ME

Legal business name

ROSE OF SHARON/HAVEN OF REST

Practice address

984 North Main Street
Winterport, ME 04496

Phone

(207) 223-5528

NPI assigned

Sep 7, 2016

Organization subpart

No

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

Authorized official

Name

Laurie HallNPI 1760511786

Title

Owner

Phone

(207) 223-5528

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Laurie Ann Hall, CRMA

  • Assisted Living Facility
  • Winterport, ME
  • NPI 1760511786
  NPD (past) Authorized official

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1235686239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 NORTH MAIN STREET",
            "address_2": "PO BOX 649",
            "city": "WINTERPORT",
            "state": "ME",
            "postal_code": "04496",
            "telephone_number": "207-223-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 NORTH MAIN STREET",
            "city": "WINTERPORT",
            "state": "ME",
            "postal_code": "04496",
            "telephone_number": "207-223-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE OF SHARON/HAVEN OF REST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-223-5528"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS6501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "433036601",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433036601",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ormsby, OTR/L
• Penobscot Community Health Center
• Hailee A Phillips, LADC
• Natalia L. Quimby
• Margaret Ray, FNP-C
• Scott Spaulding
• Shelley Jean Tozier
• Sober Co. LLC
• Maria May Philbrick Spencer
• Sunbury Primary Care, P.a.

• All providers in Winterport, ME
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.