Active NPI
Mid Coast Geriatric Services Corp
Doing business as Mid Coast Senior Health
- Skilled Nursing Facility
- Brunswick, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1952
- Legal business name
- MID COAST GERIATRIC SERVICES CORP
- Doing business as
- Mid Coast Senior Health
- Practice address
- 58 Baribeau Dr
Brunswick, ME 04011-3218 - Phone
- (207) 373-3638
- Fax
- (207) 373-3640
- NPI assigned
- Nov 7, 2005
- Last updated
- Jan 30, 2023
- 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
- Kim Watson
- Title
- Administrator
- Phone
- (207) 373-3630
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1952 | ME | Primary |
Addresses
Primary practice location
58 Baribeau Dr
Brunswick, ME 04011-3218
Mailing address
58 Baribeau Dr
Brunswick, ME 04011-3218
Phone (207) 373-3638
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128310000 | Medicaid | ME | |
| NG0093 | Other | ME | MEDICARE B |
Other names 1
- Mid Coast Senior Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030612000003 | ME | Part A Provider - Skilled Nursing Facility | 1153231360 | Practice locations: Brunswick, ME |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1396726501. Details of each certification follow.
Skilled nursing facility certification: CCN 205163
- Legal name
- MID COAST GERIATRIC SERVICES CORP
- Doing business as
- MID COAST SENIOR HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 9, 1974
- Last certification
- Jun 12, 2024
- Beds
- 42
- Ownership / control type
- Nonprofit Corporation
- Multi-facility organization
- MaineHealth
- Organization structure
- Corporation
- Incorporated
- Jan 17, 1995 in ME
- Enrollment address
- 58 Baribeau Dr
Brunswick, ME 04011-3218 - Nursing home name
- MID COAST SENIOR HEALTH CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Mid Coast Senior Health Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jan 9, 1974
- Medicare certification status
- Active
- Certified beds
- 42
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba MaineHealth Waldo Hospital
- Critical Access Hospital
- Belfast, ME
- NPI 1841397932
Member Of
Locations
58 Baribeau Dr
Brunswick, ME 04011
Phone (207) 373-3638
Ownership & related parties
All disclosed owners & managing parties 37
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 |
|---|---|---|---|
| Michael Perry | Corporate Officer | Oct 4, 2019 | |
| Operational/Managerial Control | Oct 4, 2019 | ||
| Trustee of the SNF | Oct 4, 2019 | ||
| Adp of the SNF | Oct 4, 2019 | ||
| Peter H Hutchinson | Corporate Director | Feb 1, 2025 | |
| Trustee of the SNF | Feb 1, 2025 | ||
| Alain J Montegut | Corporate Director | Oct 26, 2022 | |
| Trustee of the SNF | Oct 26, 2022 | ||
| Adrian M Moran | Corporate Director | Feb 1, 2025 | |
| Trustee of the SNF | Feb 1, 2025 | ||
| Glenn Hutchinson | Corporate Director | Oct 1, 2005 | |
| Trustee of the SNF | Oct 1, 2005 | ||
| Sharon M Young | Operational/Managerial Control | Jan 1, 2026 | |
| Adp of the SNF | Jan 1, 2026 | ||
| Stacey Morse | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Dawn M Tutt | Operational/Managerial Control | Jan 1, 2024 | |
| Robert Hunter | Corporate Officer | Sep 26, 2025 | |
| Aileen a Mickey | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Andrew T Mueller | Corporate Officer | Jan 1, 2024 | |
| Trustee of the SNF | Jan 1, 2024 | ||
| Allyson M Denyer | Operational/Managerial Control | Oct 1, 2022 | |
| Adp of the SNF | Oct 1, 2022 | ||
| Kelly a Elkins | Corporate Officer | Jan 4, 2022 | |
| Trustee of the SNF | Jan 4, 2022 | ||
| Rowena S Spann | Corporate Director | Oct 1, 2018 | |
| Trustee of the SNF | Oct 1, 2018 | ||
| Loriman Looke | Corporate Officer | Mar 1, 2026 | |
| Operational/Managerial Control | Mar 1, 2026 | ||
| Adp of the SNF | May 22, 2026 | ||
| Jeffrey Darling | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Teresa Smith | Operational/Managerial Control | May 18, 2020 | |
| Adp of the SNF | May 18, 2020 | ||
| Mainehealth Services | 5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 100% |
| Trustee of the SNF | Jan 1, 2021 | ||
| Heather R Shanklin | Corporate Officer | Sep 26, 2025 | |
| Christopher T Bowe | Corporate Officer | Oct 26, 2022 | |
| Trustee of the SNF | Oct 26, 2022 | ||
| Bruce McGlauflin | Corporate Officer | Oct 1, 2018 | |
| Trustee of the SNF | Oct 1, 2018 | ||
| Marcus Maurice Sebastian Deck | Corporate Director | Oct 26, 2022 | |
| Trustee of the SNF | Oct 26, 2022 | ||
| Sandra Morrell-Rooney | Corporate Director | Oct 1, 2007 | |
| Mainehealth | 5% Or Greater Direct Ownership Interest | Jan 1, 2021 | 100% |
| Adp of the SNF | Oct 16, 2025 | ||
| Daniel Morgenstern | Corporate Officer | Oct 26, 2022 | |
| Trustee of the SNF | Oct 26, 2022 | ||
| Matthew P Orlando | Corporate Officer | Oct 1, 2015 | |
| Trustee of the SNF | Oct 1, 2015 | ||
| Stemple D Johnson | Corporate Director | Oct 26, 2022 | |
| Trustee of the SNF | Oct 26, 2022 | ||
| Lenora H Burke | Corporate Director | Oct 26, 2022 | |
| Trustee of the SNF | Oct 26, 2022 | ||
| Jenny L Little | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Rachel Anne Sluder | Operational/Managerial Control | Oct 1, 2025 | |
| Adp of the SNF | Oct 16, 2025 | ||
| Margo H Knight | Corporate Director | Oct 26, 2022 | |
| Trustee of the SNF | Oct 26, 2022 | ||
| Omar Hasan | Corporate Officer | Oct 1, 2024 | |
| Trustee of the SNF | Jan 1, 2024 | ||
| Andrea Patstone | Operational/Managerial Control | Oct 1, 2024 | |
| Larissa V Darcy | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Hannah Chatalbash | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 | ||
| Charles Frizzle | Corporate Director | Oct 1, 2019 | |
| Trustee of the SNF | Oct 1, 2019 | ||
| Michael P Madaio | Corporate Director | Jan 1, 2025 | |
| Trustee of the SNF | Jan 1, 2025 |
Owners & managing parties with NPI records 6
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Brunswick, ME
- NPI 1891717872
Corporate Director, Trustee of the SNF
-
- Orthopaedic Surgery Physician
- Brunswick, ME
- NPI 1700913159
Corporate Director, Trustee of the SNF
-
- Surgery Physician
- Brunswick, ME
- NPI 1023165487
Corporate Director, Trustee of the SNF
-
- Infectious Disease Physician
- Brunswick, ME
- NPI 1568967990
Corporate Director, Trustee of the SNF
-
- Geriatric Medicine (Internal Medicine) Physician
- Portland, ME
- NPI 1508352410
Adp of the SNF, Operational/Managerial Control
-
- Pediatric Cardiology Physician
- Milwaukee, WI
- NPI 1255301974
Corporate Director, Trustee of the SNF
Facilities with the same owner 29
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Coves Edge Nursing Facility
- Nursing Facility/Intermediate Care Facility
- Damariscotta, ME
- NPI 1477648962
Mainehealth, Mainehealth Services
-
dba MaineHealth Medd Health Center
- Rural Health Clinic/Center
- Norway, ME
- NPI 1053601864
Mainehealth Services
-
dba MaineHealth Franklin Health Center
- Rural Health Clinic/Center
- Farmington, ME
- NPI 1245873082
Mainehealth Services
-
dba MaineHealth Primary Care Family Medicine
- Rural Health Clinic/Center
- Stockton Springs, ME
- NPI 1295800118
Mainehealth Services
-
dba MaineHealth Lincoln Hospital Swing Bed
- Medicare Defined Swing Bed Hospital Unit
- Damariscotta, ME
- NPI 1316035116
Mainehealth Services
-
dba MaineHealth Stephens Hospital
- Critical Access Hospital
- Norway, ME
- NPI 1346299815
Mainehealth Services
-
dba MaineHealth Herbert and Roberta Watson Health Center
- Rural Health Clinic/Center
- Damariscotta, ME
- NPI 1477629384
Mainehealth Services
-
dba MaineHealth Arthur Jewell Health Center
- Rural Health Clinic/Center
- Brooks, ME
- NPI 1487720215
Mainehealth Services
-
dba Gregory Wing at St. Andrews Village
- Nursing Facility/Intermediate Care Facility
- Boothbay Harbor, ME
- NPI 1528151065
Mainehealth Services
-
dba MaineHealth Behavioral Health at Spring Harbor
- Psychiatric Hospital
- Westbrook, ME
- NPI 1598798787
Mainehealth Services
-
dba MaineHealth MT Blue Health Center
- Rural Health Clinic/Center
- Farmington, ME
- NPI 1619510047
Mainehealth Services
-
dba MaineHealth Maine Medical Center
- General Acute Care Hospital
- Portland, ME
- NPI 1760436216
Mainehealth Services
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Speech-Language Pathologist
- Brunswick, ME
- NPI 1609262336
-
- Geriatric Medicine (Internal Medicine) Physician
- Portland, ME
- NPI 1508352410
-
- Internal Medicine Physician
- Brunswick, ME
- NPI 1740576297
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Portland, ME
- NPI 1508352410
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675036800000",
"number": "1396726501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 BARIBEAU DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113218",
"telephone_number": "207-373-3638",
"fax_number": "207-373-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 BARIBEAU DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113218",
"telephone_number": "207-373-3638",
"fax_number": "207-373-3640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID COAST GERIATRIC SERVICES CORP",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-07",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "207-373-3630"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ME",
"license": "1952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128310000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE B",
"identifier": "NG0093",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mid Coast Senior Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brunswick, ME
- Nathaniel Flaschner Meyer, MD
- Emily M Michaud, LCPC, LADC
- Mid Coast Anesthesia, PA
- Mid Coast Cardiology
- Mid Coast Dermatology, LLC
- Mid Coast Medical Group-Surgical Care
- Midcoast Chiropractic LLC
- Midcoast Counseling Group, PLLC
- Midcoast Dental Health LLC
- Midcoast Eye Associates (Midcoast Optical Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.