Individual provider Active NPI

John Victor Chambers Sr.

  • Assisted Living Facility
  • Calais, ME
National Provider Identifier
1356962096
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Practice address
152 South St
Calais, ME 04619-1324
Phone
(207) 454-8961
Fax
(207) 454-8964
NPI assigned
May 5, 2020
Last updated
May 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary
Assisted Living Facility (Mental Illness) 3104A0625X ME

Addresses

Primary practice location

152 South St
Calais, ME 04619-1324

Mailing address

152 South St
Calais, ME 04619-1324
Phone (207) 454-8961

Other practice location 1

736 US Rte 1
Robbinston, ME 04671-3118
Phone (207) 454-3787

Other practice location 2

57 Main Street
Bucksport, ME 04416
Phone (207) 902-1220

Other practice location 3

36 High St
Calais, ME 04619-1709
Phone (207) 454-8700

Other practice location 4

10 Mahar Ln
Calais, ME 04619-1202
Phone (207) 454-3972

Other practice location 5

152 South St
Calais, ME 04619-1324
Phone (207) 454-8960

Other practice location 6

241 North St
Calais, ME 04619-1619
Phone (207) 454-3358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1356962096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SOUTH ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191324",
            "telephone_number": "207-454-8961",
            "fax_number": "207-454-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SOUTH ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191324",
            "telephone_number": "207-454-8961",
            "fax_number": "207-454-8964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 US Rte 1",
            "address_purpose": "LOCATION",
            "city": "Robbinston",
            "state": "ME",
            "postal_code": "046713118",
            "country_code": "US",
            "telephone_number": "207-454-3787",
            "fax_number": "207-454-3777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 Main Street",
            "address_purpose": "LOCATION",
            "city": "Bucksport",
            "state": "ME",
            "postal_code": "04416",
            "country_code": "US",
            "telephone_number": "207-902-1220",
            "fax_number": "207-902-1230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 High St",
            "address_purpose": "LOCATION",
            "city": "Calais",
            "state": "ME",
            "postal_code": "046191709",
            "country_code": "US",
            "telephone_number": "207-454-8700",
            "fax_number": "207-454-8720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Mahar Ln",
            "address_purpose": "LOCATION",
            "city": "Calais",
            "state": "ME",
            "postal_code": "046191202",
            "country_code": "US",
            "telephone_number": "207-454-3972",
            "fax_number": "207-454-3974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "152 South St",
            "address_purpose": "LOCATION",
            "city": "Calais",
            "state": "ME",
            "postal_code": "046191324",
            "country_code": "US",
            "telephone_number": "207-454-8960",
            "fax_number": "207-454-8964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "241 North St",
            "address_purpose": "LOCATION",
            "city": "Calais",
            "state": "ME",
            "postal_code": "046191619",
            "country_code": "US",
            "telephone_number": "207-454-3358",
            "fax_number": "207-454-3378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "JOHN",
        "middle_name": "VICTOR",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "ME",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calais, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; 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.