The Burr Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

ALLS 3177 Issued in ME

Legal business name

THE BURR HOME

Practice address

108 State St
Brewer, ME 04412-1914

Phone

(207) 944-6328

Fax

(207) 989-3663

NPI assigned

May 29, 2009

Organization subpart

No

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

Authorized official

Name

Wendy C Lainez

Title

Owner/Administrator

Phone

(207) 944-6328

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1255567616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3715",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044123715",
            "telephone_number": "207-944-6328",
            "fax_number": "207-989-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 STATE ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121914",
            "telephone_number": "207-944-6328",
            "fax_number": "207-989-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BURR HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "LAINEZ",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "207-944-6328"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "ME",
            "license": "ALLS 3177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432359301",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Ann Tan, PMHNP
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• Jennifer M Taylor, CFNP
• Jordan Teague, PTA
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• Adult Care Home Facility in Brewer, ME
• Providers in Brewer, ME by specialty
• Adult Care Home Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.