NPIMap

Organization Active NPI

Homes of Revival Inc.

Doing business as Rose of Sharon/Haven of Rest

  • Assisted Living Facility
  • Winterport, ME
National Provider Identifier
1356670624
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALLS 3645 Issued in ME
Legal business name
HOMES OF REVIVAL INC.
Doing business as
Rose of Sharon/Haven of Rest
Practice address
984 N Main St
Winterport, ME 04496-3404
Phone
(207) 223-5528
NPI assigned
Dec 16, 2009
Last updated
Dec 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Mrs. Laurie Ann HallNPI 1760511786
Title
Administrator
Phone
(207) 223-5528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALLS 3645 ME Primary
Assisted Living Facility 310400000X ALLS 3316 ME

Addresses

Primary practice location

984 N Main St
Winterport, ME 04496-3404

Mailing address

984 N Main St
Winterport, ME 04496-3404
Phone (207) 223-5528

Other identifiers 3

IdentifierTypeStateIssuer
101430000OtherMEMAINECARE
433036600OtherMEMAINECARE
433036601OtherMEMAINECARE

Other names 1

  • Rose of Sharon/Haven of Rest Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1356670624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 N MAIN ST",
            "city": "WINTERPORT",
            "state": "ME",
            "postal_code": "044963404",
            "telephone_number": "207-223-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 N MAIN ST",
            "city": "WINTERPORT",
            "state": "ME",
            "postal_code": "044963404",
            "telephone_number": "207-223-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMES OF REVIVAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-223-5528",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS 3645",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS 3316",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "101430000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "433036600",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "433036601",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose of Sharon/Haven of Rest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winterport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.