Organization Active NPI

Mount St. Joseph

  • Skilled Nursing Facility
  • Waterville, ME
National Provider Identifier
1265429708
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1915 Issued in ME
Legal business name
MOUNT ST. JOSEPH
Practice address
7 Highwood St
Waterville, ME 04901-5739
Phone
(207) 873-0705
Fax
(207) 873-6626
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Kerry Sirois
Title
Administrator
Phone
(207) 873-0705

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1915 ME
Assisted Living Facility (Mental Illness) 3104A0625X 1915 ME
Skilled Nursing Facility 314000000X 1915 ME Primary

Addresses

Primary practice location

7 Highwood St
Waterville, ME 04901-5739

Mailing address

7 Highwood St
Waterville, ME 04901-5739
Phone (207) 873-0705

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1265429708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HIGHWOOD ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015739",
            "telephone_number": "207-873-0705",
            "fax_number": "207-873-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HIGHWOOD ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015739",
            "telephone_number": "207-873-0705",
            "fax_number": "207-873-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT ST. JOSEPH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "SIROIS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-873-0705"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "1915",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "ME",
            "license": "1915",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "1915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.