Mainehealth

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

2019 Issued in ME

Legal business name

MAINEHEALTH

Doing business as

Safe Haven at St. Andrews Village

Practice address

145 Emery LN
Boothbay Harbor, ME 04538-1963

Phone

(207) 633-0920

NPI assigned

Sep 10, 2018

Last updated

May 11, 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

Lugene Anthony Inzana

Title

Associate Cfo

Phone

(207) 662-3538

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Safe Haven at St. Andrews Village Doing business as

Tax ID family

Maine Medical Assoc85 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Maine Medical Partners

  dba Family Practice Service

  • Family Medicine Physician
  • Portland, ME
  • NPI 1376551861
  NPD tax ID
• Mainehealth

  dba Mainehealth Behavioral Health

  • Psychiatric Hospital
  • Portland, ME
  • NPI 1073441457
  NPD tax ID
• Mainehealth

  dba MMC Oral Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Portland, ME
  • NPI 1073702288
  NPD tax ID
• Mainehealth

  dba MaineHealth Primary Care Internal Medicine

  • General Acute Care Hospital
  • Bath, ME
  • NPI 1083533723
  NPD tax ID
• Mainehealth

  dba MaineHealth Palliative Care

  • General Acute Care Hospital
  • Bath, ME
  • NPI 1093634701
  NPD tax ID
• Mainehealth

  dba Assisted Living at St. Andrews Village

  • Assisted Living Facility
  • Boothbay Harbor, ME
  • NPI 1093801284
  NPD tax ID
• Mainehealth

  dba SMHC Walk In Care

  • Urgent Care Clinic/Center
  • Saco, ME
  • NPI 1124508924
  NPD tax ID
• Mainehealth

  dba MaineHealth Ophthalmology

  • General Acute Care Hospital
  • Rockland, ME
  • NPI 1184552879
  NPD tax ID
• Mainehealth

  • Medicare Defined Swing Bed Hospital Unit
  • Belfast, ME
  • NPI 1184944878
  NPD tax ID
• Mainehealth

  dba MMC Family Practice Residency Program

  • Family Medicine Physician
  • Portland, ME
  • NPI 1225232606
  NPD tax ID
• Mainehealth

  dba MaineHealth Diabetes Care

  • General Acute Care Hospital
  • Bath, ME
  • NPI 1245159953
  NPD tax ID
• Mainehealth

  dba MaineHealth Franklin Health Center

  • Rural Health Clinic/Center
  • Farmington, ME
  • NPI 1245873082
  NPD tax ID

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1265915912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 EMERY LN",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 EMERY LN",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381963",
            "telephone_number": "207-633-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "INZANA",
        "authorized_official_first_name": "LUGENE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "ASSOCIATE CFO",
        "authorized_official_telephone_number": "207-662-3538"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "ME",
            "license": "2019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101560401",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Haven at St. Andrews Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Safe Haven at St. Andrews Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Leighton, OTR/L
• Lincolnhealth
• Lincolnhealth (St. Andrews Family Care Center RHC)
• Wiley B Macleod, MOTR/L
• Mainehealth (Assisted Living at St. Andrews Village)
• Mainehealth (Gregory Wing at St. Andrews Village)
• Mainehealth (Safe Havens at St. Andrews Village)
• Mainehealth (Gregory Wing at St. Andrews Village)
• Mainehealth (MaineHealth John F Andrews Health Center)
• Shane Taylor McNear

• Alzheimer Center (Dementia Center) in Boothbay Harbor, ME
• Providers in Boothbay Harbor, ME by specialty
• Alzheimer Center (Dementia Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.