NPIMap

Organization Active NPI

Seal Rock Associates LLC

Doing business as Seal Rock Healthcare

  • Skilled Nursing Facility
  • Saco, ME
National Provider Identifier
1417939612
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
36312 Issued in ME
Legal business name
SEAL ROCK ASSOCIATES LLC
Doing business as
Seal Rock Healthcare
Practice address
88 Harbor Drive
Saco, ME 04072
Phone
(207) 283-3646
NPI assigned
Nov 15, 2005
Last updated
Sep 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Kenneth Bowden
Title
Ceo
Phone
(207) 874-2700

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 36535 ME
Physical Therapy Clinic/Center 261QP2000X 36535 ME
Occupational Medicine Clinic/Center 261QX0100X 36535 ME
Skilled Nursing Facility 314000000X 36312 ME Primary

Addresses

Primary practice location

88 Harbor Drive
Saco, ME 04072

Mailing address

88 Harbor Drive
Saco, ME 04072
Phone (207) 283-3646

Other names 1

  • Seal Rock Healthcare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050623000738 ME Part A Provider - Skilled Nursing Facility 7719922392 Practice locations: Saco, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417939612. Details of each certification follow.

Skilled nursing facility certification: CCN 205103

Legal name
SEAL ROCK ASSOCIATES LLC
Doing business as
SEAL ROCK HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1993
Last certification
Jul 27, 2022
Beds
105
Ownership / control type
Corporation
Multi-facility organization
First Atlantic Healthcare
Organization structure
LLCProprietary
Incorporated
Oct 31, 2003 in ME
Enrollment address
88 Harbor Dr
Saco, ME 04072
Nursing home name
SEAL ROCK HEALTHCARE
Affiliated entity
FIRST ATLANTIC HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Seal Rock HealthcareCCN 205103 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10590.5 residents per day on average
Chain
First Atlantic Healthcare10 facilities in the chain
Penalties (3 years)
1Fines totaling $75,433

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0876996Seal Rock Healthcare at Atlantic Heights88 Harbor Drive, Saco, ME 04072Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Craig G Coffin Individual 5% Or Greater Indirect Ownership Interest Jun 29, 2019 66.67%
Adp of the SNF Jun 30, 2019
Kenneth W Bowden Individual 5% Or Greater Indirect Ownership InterestCeo Jun 29, 2019 33.33%
Corporate DirectorDirector Jun 29, 2019 100%
Adp of the SNF Jun 30, 2019
First Atlantic Healthcare Inc Organization, South Portland, ME Corporation, Chain home office Operational/Managerial Control Jun 5, 2005 100%
Adp of the SNF Feb 26, 2025
Andrea Otis-Higgins Individual Corporate Officer May 11, 2015 100%
Operational/Managerial Control May 11, 2015
Adp of the SNF May 11, 2015
KWB Holdings, LLC Organization, South Portland, ME LLC 5% Or Greater Direct Ownership Interest Jun 29, 2019 33.33%
Adp of the SNF Jun 30, 2019
Faraday Holdings LLC Organization, South Portland, ME LLC 5% Or Greater Direct Ownership Interest Jun 29, 2019 66.67%
Adp of the SNF Jun 30, 2019
Jessica Gilbert Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Aug 1, 2023
Ari S Berman Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Feb 1, 2019
Wanda Pelkey Individual Corporate OfficerCeo Oct 1, 2024 100%
Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 9

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

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": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1417939612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 HARBOR DRIVE",
            "city": "SACO",
            "state": "ME",
            "postal_code": "04072",
            "telephone_number": "207-283-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 HARBOR DRIVE",
            "city": "SACO",
            "state": "ME",
            "postal_code": "04072",
            "telephone_number": "207-283-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAL ROCK ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-874-2700"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "36535",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ME",
            "license": "36535",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "ME",
            "license": "36535",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "36312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seal Rock Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.