Brock Pine River LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BROCK PINE RIVER LLC

Practice address

115 Maine Ave
Rumford, ME 04276-2208

Phone

(207) 594-4990

NPI assigned

Sep 22, 2025

Last updated

Sep 22, 2025By 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

Locations

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1326910191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAINE AVE",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762208",
            "telephone_number": "207-594-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK PINE RIVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "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": []
}

• Mara T Best, LCSW
• Robin Bienenstock, DPT
• Lauren Marie Bradley
• Sara Elizabeth Brennick, RN
• Philip John Bretz, D.M.D
• Jo Ann Broomhall, PA-C
• Michelle Lynn Buckman, LCSW, LADC, CCS
• Ruth Millicent Burke
• Linnea Burns
• Hope Elizabeth Calderwood, PT MHS

• Assisted Living Facility in Rumford, ME
• Providers in Rumford, 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 Sep 22, 2025; 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.