Organization Active NPI

Mid Coast Geriatric Services Corp

Doing business as Mid Coast Senior Health

  • Skilled Nursing Facility
  • Brunswick, ME
National Provider Identifier
1396726501
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1952 Issued in ME
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Kim WatsonNPI 1609262336
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
128310000MedicaidME
NG0093OtherMEMEDICARE B

Other names 1

  • Mid Coast Senior Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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 CenterCCN 205163 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 9, 1974
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4240.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

NameRoleSinceShare
Michael Perry Individual Corporate OfficerBoard Member 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 Individual Corporate DirectorBoard Member Feb 1, 2025
Trustee of the SNF Feb 1, 2025
Alain J Montegut Individual Corporate DirectorBoard Member Oct 26, 2022
Trustee of the SNF Oct 26, 2022
Adrian M Moran Individual Corporate DirectorBoard Member Mainehealth Cmto Feb 1, 2025
Trustee of the SNF Feb 1, 2025
Glenn Hutchinson Individual Corporate DirectorBoard Member Oct 1, 2005
Trustee of the SNF Oct 1, 2005
Sharon M Young Individual Operational/Managerial Control Jan 1, 2026
Adp of the SNF Jan 1, 2026
Stacey Morse Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Dawn M Tutt Individual Operational/Managerial Control Jan 1, 2024
Robert Hunter Individual Corporate OfficerSenior Vice President Sep 26, 2025
Aileen a Mickey Individual Corporate DirectorBoard Member Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Andrew T Mueller Individual Corporate OfficerBoard Member Ceo Mainehealth Jan 1, 2024
Trustee of the SNF Jan 1, 2024
Allyson M Denyer Individual Operational/Managerial Control Oct 1, 2022
Adp of the SNF Oct 1, 2022
Kelly a Elkins Individual Corporate OfficerChief Operating Officer Mainehealth Jan 4, 2022
Trustee of the SNF Jan 4, 2022
Rowena S Spann Individual Corporate DirectorBoard Member Oct 1, 2018
Trustee of the SNF Oct 1, 2018
Loriman Looke Individual Corporate Officer Mar 1, 2026
Operational/Managerial Control Mar 1, 2026
Adp of the SNF May 22, 2026
Jeffrey Darling Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Teresa Smith Individual Operational/Managerial Control May 18, 2020
Adp of the SNF May 18, 2020
Mainehealth Services Organization, Portland, ME Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2021 100%
Trustee of the SNF Jan 1, 2021
Heather R Shanklin Individual Corporate OfficerRegional Cfo Sep 26, 2025
Christopher T Bowe Individual Corporate OfficerBoard Member Oct 26, 2022
Trustee of the SNF Oct 26, 2022
Bruce McGlauflin Individual Corporate OfficerBoard Vice Chair/Secretary Oct 1, 2018
Trustee of the SNF Oct 1, 2018
Marcus Maurice Sebastian Deck Individual Corporate DirectorBoard Member Oct 26, 2022
Trustee of the SNF Oct 26, 2022
Sandra Morrell-Rooney Individual Corporate DirectorBoard- Mainehealth &Midcoast Health Oct 1, 2007
Mainehealth Organization, Portland, ME Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 2021 100%
Adp of the SNF Oct 16, 2025
Daniel Morgenstern Individual Corporate OfficerBoard Chair Oct 26, 2022
Trustee of the SNF Oct 26, 2022
Matthew P Orlando Individual Corporate OfficerBoard Member Treasurer Oct 1, 2015
Trustee of the SNF Oct 1, 2015
Stemple D Johnson Individual Corporate DirectorBoard Member Oct 26, 2022
Trustee of the SNF Oct 26, 2022
Lenora H Burke Individual Corporate DirectorBoard Member Oct 26, 2022
Trustee of the SNF Oct 26, 2022
Jenny L Little Individual Corporate DirectorBoard Member Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Rachel Anne Sluder Individual Operational/Managerial Control Oct 1, 2025
Adp of the SNF Oct 16, 2025
Margo H Knight Individual Corporate DirectorBoard Member Oct 26, 2022
Trustee of the SNF Oct 26, 2022
Omar Hasan Individual Corporate OfficerBoard Member Oct 1, 2024
Trustee of the SNF Jan 1, 2024
Andrea Patstone Individual Operational/Managerial Control Oct 1, 2024
Larissa V Darcy Individual Corporate DirectorBoard Member Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Hannah Chatalbash Individual Corporate DirectorBoard Member Jan 1, 2025
Trustee of the SNF Jan 1, 2025
Charles Frizzle Individual Corporate DirectorBoard Member Oct 1, 2019
Trustee of the SNF Oct 1, 2019
Michael P Madaio Individual Corporate DirectorBoard Member 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.

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

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.

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": "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

Sources for this page

Verify at the official NPI Registry.