Pittsfield Community Home, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALLS3186 Issued in ME

Legal business name

PITTSFIELD COMMUNITY HOME, LLC

Practice address

554 N Main St
Pittsfield, ME 04967-3703

Phone

(207) 487-6889

Fax

(207) 487-4751

NPI assigned

Jul 31, 2009

Last updated

Jul 31, 2009By 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

Mr. Rick Shaw

Title

Administrator

Phone

(207) 487-6889

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1346471836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 N MAIN ST",
            "city": "PITTSFIELD",
            "state": "ME",
            "postal_code": "049673703",
            "telephone_number": "207-487-6889",
            "fax_number": "207-487-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 N MAIN ST",
            "city": "PITTSFIELD",
            "state": "ME",
            "postal_code": "049673703",
            "telephone_number": "207-487-6889",
            "fax_number": "207-487-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSFIELD COMMUNITY HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-487-6889",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS3186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE PROVIDER NUMBER",
            "identifier": "432508100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael C Parks, O.D.
• Anna W Peterson, LCPC/C
• Pine Tree Radiology PA
• Pine Tree Radiology PA
• Pittsfield Community Care LLC
• Pittsfield Medical Center
• Bunny Kai Pounds, MSN, FNP-BC
• Jenna McCarthy Quint, MS, RD, LD
• Flint C Reid, O.D.
• Stephanie Ann Reimers

• Assisted Living Facility in Pittsfield, ME
• Providers in Pittsfield, 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 Jul 31, 2009; 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.