Hibbard Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

36293 Issued in ME

Legal business name

HIBBARD NURSING HOME INC

Practice address

1037 W Main St
Dover Foxcroft, ME 04426-3752

Phone

(207) 564-8129

Fax

(207) 564-8484

NPI assigned

Dec 2, 2005

Last updated

Aug 22, 2020By 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

Mrs. Jane Hibbard Merrill, ADMINISTRATOR OWNER

Title

Administrator

Phone

(207) 564-8129

Specialties & licenses 1

Addresses

Tax ID family

Dover-Foxcroft Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dover-Foxcroft Healthcare, LLC

  dba Hibbard Skilled Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Dover Foxcroft, ME
  • NPI 1184052243
  NPD tax ID

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255315263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044260159",
            "telephone_number": "207-564-8129",
            "fax_number": "207-564-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044263752",
            "telephone_number": "207-564-8129",
            "fax_number": "207-564-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBBARD NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HIBBARD MERRILL",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-564-8129",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR OWNER"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "36293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Gudroe, LCSW
• Brittany Hackett, PA-C
• Hailee Hartford, RN
• Sachin Hawaldar, MPT
• Healing Partners Psychiatric Services PLLC (Healing Partners Psychiatric Services)
• Norman A. Hill, D.D.S.
• Theresa Hoeckh, RPH
• Kailey Lynn Huebl
• Suzanne T. Humphries, LCSW
• Sydney Jeanne Hutchins, RN

• Skilled Nursing Facility in Dover Foxcroft, ME
• Providers in Dover Foxcroft, ME by specialty
• Skilled Nursing Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.