NPIMap

Organization Active NPI

Lakeview Terrace Residential Care Facility

  • Assisted Living Facility
  • Lincoln, ME
National Provider Identifier
1255575007
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALLS 3460 Issued in ME
Legal business name
LAKEVIEW TERRACE RESIDENTIAL CARE FACILITY
Practice address
74 Taylor St
Lincoln, ME 04457-1145
Phone
(207) 794-6086
Fax
(207) 794-8003
NPI assigned
Apr 23, 2009
Last updated
Apr 23, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHERN PINES CARE ESTATES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

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

Authorized official

Name
Mr. Vernon M Taylor, ADMINISTRATOR
Title
President
Phone
(207) 794-6086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALLS 3460 ME Primary

Addresses

Primary practice location

74 Taylor St
Lincoln, ME 04457-1145

Mailing address

74 Taylor St
Lincoln, ME 04457-1145
Phone (207) 794-6086

Other identifiers 1

IdentifierTypeStateIssuer
432050301MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Lakeview Terrace Residential Care Facility2 organizations share this tax ID, including this one
Part of
Lakeview Terrace Residential Care Facility

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1255575007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 TAYLOR ST",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044571145",
            "telephone_number": "207-794-6086",
            "fax_number": "207-794-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 TAYLOR ST",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044571145",
            "telephone_number": "207-794-6086",
            "fax_number": "207-794-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW TERRACE RESIDENTIAL CARE FACILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHERN PINES CARE ESTATES INC.",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-794-6086",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS 3460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432050301",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.