Active NPI
Mount St. Joseph
- Skilled Nursing Facility
- Waterville, ME
National Provider Identifier
1265429708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1915
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryMember 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.