NPIMap

Organization Active NPI

DLTC Healthcare LLC

  • Assisted Living Facility
  • Searsport, ME
National Provider Identifier
1326403569
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DLTC HEALTHCARE LLC
Doing business as
Bayview Manor
Practice address
45 West Main St
Searsport, ME 04974
Phone
(207) 548-2415
NPI assigned
Dec 15, 2015
Organization subpart
Yes
Parent organization
DAVIS LONG TERM CARE GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Chad Cloutier
Title
Managing Member
Phone
(207) 594-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

45 West Main St
Searsport, ME 04974

Mailing address

18 Talbot Ave
Rockland, ME 04841-2959
Phone (207) 594-4990

Other names 1

  • Bayview Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DLTC Healthcare LLC4 organizations share this tax ID, including this one
Part of
Davis Long Term Care Grop Inc

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1326403569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 TALBOT AVE",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412959",
            "telephone_number": "207-594-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WEST MAIN ST",
            "city": "SEARSPORT",
            "state": "ME",
            "postal_code": "04974",
            "telephone_number": "207-548-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLTC HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVIS LONG TERM CARE GROUP INC",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "CLOUTIER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "207-594-4990"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayview Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Searsport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.