Active NPI
Independent Order of Odd Fellows Home of Maine
- Assisted Living Facility
- Auburn, ME
National Provider Identifier
1417280306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 2329
- Legal business name
- INDEPENDENT ORDER OF ODD FELLOWS HOME OF MAINE
- Practice address
- 85 Caron Lane
Auburn, ME 04210 - Phone
- (207) 786-4616
- Fax
- (207) 786-4064
- NPI assigned
- Sep 10, 2009
- 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
- Jo-Ellen A. Strout, AAS
- Title
- Business Manager
- Phone
- (207) 786-4616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 2329 | ME | Primary |
Addresses
Primary practice location
85 Caron Lane
Auburn, ME 04210
Mailing address
85 Caron LN
Auburn, ME 04210-4288
Phone (207) 786-4616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102150001 | Medicaid | ME |
National Provider Directory
National Provider Directory- Tax ID family
- Independent Order of Odd Fellows
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Auburn, ME
- NPI 1407841083
Locations
85 Caron Ln
Auburn, ME 04210
Phone (207) 786-4616
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Freeport, ME
- NPI 1770868762
-
- Family Medicine Physician
- Falmouth, ME
- NPI 1598407868
-
- Family Medicine Physician
- Lewiston, ME
- NPI 1124684360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763510400000",
"number": "1417280306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 CARON LN",
"city": "AUBURN",
"state": "ME",
"postal_code": "042104288",
"telephone_number": "207-786-4616",
"fax_number": "207-786-4064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 CARON LANE",
"city": "AUBURN",
"state": "ME",
"postal_code": "04210",
"telephone_number": "207-786-4616",
"fax_number": "207-786-4064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENT ORDER OF ODD FELLOWS HOME OF MAINE",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-10",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A",
"authorized_official_last_name": "STROUT",
"authorized_official_first_name": "JO-ELLEN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "207-786-4616",
"authorized_official_credential": "AAS"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "ME",
"license": "2329",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102150001",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.