Frederick'S Country Living Residential Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FREDERICK'S COUNTRY LIVING RESIDENTIAL HOME

Practice address

50 Palmer Rd
Skowhegan, ME 04976-4950

Phone

(207) 399-3486

NPI assigned

Dec 23, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Michele Leslie FrederickNPI 1649547530

Title

Care Giver

Phone

(207) 399-3486

Specialties & licenses 2

Addresses

Practitioners 1

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

• Michele L Frederick

  • Military Health Care Provider
  • Skowhegan, ME
  • NPI 1649547530
  NPD (past) Authorized official

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1386913143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PALMER RD",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049764950",
            "telephone_number": "207-399-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PALMER RD",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049764950",
            "telephone_number": "207-399-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK'S COUNTRY LIVING RESIDENTIAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "CARE GIVER",
        "authorized_official_telephone_number": "207-399-3486",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Patric Fortin, LSW
• Judith Butler Fowles
• Justin Morgan Fox, PMHNP-BC
• Ester B Franklin, LCPC/CADC
• Michele L Frederick
• Sonya Frost, OT
• Deborah Furlong
• Dorinda S Galbraith-McEachern, PT
• Celine Angelica Magadan Garcia, MD
• Christopher Warren Garner, PA-C

• Assisted Living Facility in Skowhegan, ME
• Providers in Skowhegan, 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 Dec 23, 2011; 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.