Southern Maine Agency on Aging

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

ALLS3017 Issued in ME

Legal business name

SOUTHERN MAINE AGENCY ON AGING

Doing business as

The Sam L. Cohen Center

Practice address

30 Barra Rd
Biddeford, ME 04005-9459

Phone

(207) 283-0166

Fax

(207) 282-2470

NPI assigned

May 29, 2009

Organization subpart

Yes

Parent organization

SOUTHERN MAINE AGENCY ON AGINGAs reported in NPPES

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

Authorized official

Name

Mr. Randall Davis

Title

Cfo/Coo

Phone

(207) 396-6505

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• The Sam L. Cohen Center Doing business as

Tax ID family

Southern Maine Agency on Aging2 organizations share this tax ID, including this one

Part of

Southern Maine Agency on Aging

Other organizations with this tax ID 1

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

• Southern Maine Agency on Aging

  • Adult Day Care Clinic/Center
  • Biddeford, ME
  • NPI 1174759500
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Southern Maine Agency on Aging

  • Adult Day Care Clinic/Center
  • Biddeford, ME
  • NPI 1174759500
  NPPES parent name

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1295961647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749055",
            "telephone_number": "207-396-6500",
            "fax_number": "207-883-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BARRA RD",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059459",
            "telephone_number": "207-283-0166",
            "fax_number": "207-282-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MAINE AGENCY ON AGING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN MAINE AGENCY ON AGING",
        "enumeration_date": "2009-05-29",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "207-396-6505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "ME",
            "license": "ALLS3017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIM",
            "identifier": "LAR003-A",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIM",
            "identifier": "SOU003-A",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA",
            "identifier": "VA402(241)-P-0011",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109570100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sam L. Cohen Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John W Solari, M.D.
• Kathleen Sommer, PHARMD, RPH
• Colin Sorber, PA
• Southern Maine Administrative Collaborative
• Southern Maine Agency on Aging
• Southern Maine Allergy Associates, PA
• Southern Maine Dental, P. a.
• Southern Maine Dentures and Implants, PLLC
• Southern Maine Endodontics
• Southern Maine Imaging Associates, Inc

• Adult Day Care Clinic/Center in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Adult Day Care Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.