Sentry Commons LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SENTRY COMMONS LLC

Practice address

9 Lewis Rd
Kittery, ME 03904-5410

Phone

(207) 439-9800

Fax

(207) 451-9104

NPI assigned

Nov 4, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Sheryl A Bradley

Title

Chief Financial Officer

Phone

(207) 782-4797

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DURGIN PINES Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Skilled nursing facility certification: CCN 205132A

Legal name

SENTRY COMMONS LLC

Doing business as

DURGIN PINES

Organization structure

LLCProprietary

Incorporated

May 1, 1999 in ME

Enrollment address

9 Lewis Rd
Kittery, ME 03904-5410

Nursing home name

DURGIN PINES

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Catharine M Cadigan, MD

  • Internal Medicine Physician
  • Windham, ME
  • NPI 1659301679

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catharine M Cadigan, MD

  • Internal Medicine Physician
  • Windham, ME
  • NPI 1659301679
  NPD (past)
• Akindele Majekodunmi, M.D., M.B.A

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1447411764
  NPD (past)
• Brian Thomas Trezak, MD

  • Internal Medicine Physician
  • Florence, SC
  • NPI 1003913526
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1336130574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GODDARD RD",
            "address_2": "SUITE A",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042401000",
            "telephone_number": "207-782-4797",
            "fax_number": "207-777-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LEWIS RD",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039045410",
            "telephone_number": "207-439-9800",
            "fax_number": "207-451-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTRY COMMONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "207-782-4797",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132330000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DURGIN PINES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Kittery, ME
• Providers in Kittery, ME by specialty
• Skilled Nursing Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.