Active NPI
Borderview Holdings Corp
Doing business as Borderview Rehabilitation & Living Center
- Skilled Nursing Facility
- Van Buren, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 2061
- Legal business name
- BORDERVIEW HOLDINGS CORP
- Doing business as
- Borderview Rehabilitation & Living Center
- Practice address
- 208 State St
Van Buren, ME 04785-1618 - Phone
- (207) 868-5211
- Fax
- (207) 868-3579
- NPI assigned
- Dec 21, 2006
- Last updated
- Sep 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glen G. Cyr
- Title
- VP Finance
- Phone
- (207) 786-3554
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 2061 | ME | |
| Skilled Nursing Facility | 314000000X | 2061 | ME | Primary |
Addresses
Primary practice location
208 State St
Van Buren, ME 04785-1618
Mailing address
PO Box 1408
Lewiston, ME 04243-1408
Phone (207) 786-3554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134290000 | Medicaid | ME |
Other names 1
- Borderview Rehabilitation & Living Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051114001043 | ME | Part A Provider - Skilled Nursing Facility | 1658390158 | Practice locations: Van Buren, ME |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1366506347. Details of each certification follow.
Skilled nursing facility certification: CCN 205090
- Legal name
- BORDERVIEW HOLDINGS CORP
- Doing business as
- BORDERVIEW REHABILITATION AND LIVING CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1993
- Last certification
- May 14, 2025
- Beds
- 27
- Ownership / control type
- Individual
- Multi-facility organization
- North Country Associates
- Organization structure
- Corporation
- Incorporated
- Dec 9, 2002 in ME
- Enrollment address
- 208 State St
Van Buren, ME 04785-1618 - Nursing home name
- BORDERVIEW REHAB & LIVING CTR
- Affiliated entity
- NORTH COUNTRY ASSOCIATES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Borderview Rehab & Living Ctr
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Jan 1, 1993
- Medicare certification status
- Active
- Certified beds
- 27
- Chain
- North Country Associates
National Provider Directory
National Provider DirectoryLocations
208 State St
Van Buren, ME 04785
Phone (207) 868-5211
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Glen G Cyr | Corporate Officer | Jan 1, 2008 | 45% |
| W-2 Managing Employee | Jan 1, 2008 | 45% | |
| Mary Jane Richards | Operational/Managerial Control | Jun 1, 2000 | 100% |
| Jean Lunt | 5% Or Greater Direct Ownership Interest | Dec 19, 2002 | 25% |
| Limited Partnership Interest | Dec 9, 2002 | 25% | |
| John C Orestis | 5% Or Greater Direct Ownership Interest | Dec 19, 2002 | 38% |
| Limited Partnership Interest | Dec 9, 2002 | 38% | |
| John F Lunt Martial Trust | 5% Or Greater Direct Ownership Interest | May 1, 2011 | 25% |
| Severin Beliveau | 5% Or Greater Direct Ownership Interest | Dec 19, 2002 | 12% |
| Limited Partnership Interest | Dec 9, 2002 | 12% |
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.
-
- Family Medicine Physician
- Bangor, ME
- NPI 1952893406
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473638400000",
"number": "1366506347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1408",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042431408",
"telephone_number": "207-786-3554",
"fax_number": "207-786-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 STATE ST",
"city": "VAN BUREN",
"state": "ME",
"postal_code": "047851618",
"telephone_number": "207-868-5211",
"fax_number": "207-868-3579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BORDERVIEW HOLDINGS CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2016-09-12",
"status": "A",
"authorized_official_last_name": "CYR",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "207-786-3554",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "ME",
"license": "2061",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ME",
"license": "2061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134290000",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Borderview Rehabilitation & Living Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Van Buren, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.