Brock Lodges LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BROCK LODGES LLC

Doing business as

The Lodges Assisted Living

Practice address

51 Main St
Springvale, ME 04083-1843

Phone

(207) 324-4757

NPI assigned

Dec 2, 2024

Last updated

Dec 2, 2024By 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

Kelly Wesbrock

Title

Chief Executive Officer

Phone

(207) 691-5059

Specialties & licenses 1

Addresses

Other names 1

• THE LODGES ASSISTED LIVING Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan D. Paul, MD

  • Internal Medicine Physician
  • Bridgton, ME
  • NPI 1316102478
  NPD (past)

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1275359556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MAIN ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831843",
            "telephone_number": "207-324-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MAIN ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831843",
            "telephone_number": "207-324-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK LODGES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "WESBROCK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "207-691-5059"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LODGES ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Body in Balance Physical Therapy Inc
• Adam J Boisvert, LCSW
• Marianne Borgo-Ledue, LCPC
• Isabel Anna Bowe I
• Brock Health Inc
• Morgan Brockington, FNP-C
• Kyle Aaron Brong, MD
• Sherri Ann Brooks, LCPC
• Jill Brown, LCSW
• Shannon Lee Bryant, SLP

• Assisted Living Facility in Springvale, ME
• Providers in Springvale, ME by specialty
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.