Organization Active NPI

Davis Long Term Care Group Inc

Doing business as Bayview Manor

  • Assisted Living Facility
  • Searsport, ME
National Provider Identifier
1396712733
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
113410001 Issued in ME
Legal business name
DAVIS LONG TERM CARE GROUP INC
Doing business as
Bayview Manor
Practice address
45 W Main St
Searsport, ME 04974-3501
Phone
(207) 548-2415
NPI assigned
Mar 3, 2006
Last updated
Jun 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Bernard Davis
Title
President
Phone
(207) 594-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 113410001 ME Primary

Addresses

Primary practice location

45 W Main St
Searsport, ME 04974-3501

Mailing address

58 Park St
Suite 202
Rockland, ME 04841-2862
Phone (207) 594-4990

Other names 1

  • Bayview Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davis Long Term Care Group Inc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Practitioners & affiliated clinicians

Practitioners 2

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": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1396712733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PARK ST",
            "address_2": "SUITE 202",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412862",
            "telephone_number": "207-594-4990",
            "fax_number": "207-594-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W MAIN ST",
            "city": "SEARSPORT",
            "state": "ME",
            "postal_code": "049743501",
            "telephone_number": "207-548-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS LONG TERM CARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-594-4990"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "113410001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayview Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Searsport, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.