NPIMap

Organization Active NPI

Mainegeneral Health

Doing business as HealthReach Network

  • Community Based Hospice Care Agency
  • Waterville, ME
National Provider Identifier
1427145358
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
36435 Issued in ME
Legal business name
MAINEGENERAL HEALTH
Doing business as
HealthReach Network
MaineGeneral Community Care
Practice address
10 Water St Ste 307
Waterville, ME 04901-6566
Phone
(207) 861-6200
Fax
(207) 861-6297
NPI assigned
Oct 10, 2006
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MAINEGENERAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Gillian Fitzgerald-Crosby
Title
Director of Revenue Cycle
Phone
(207) 621-3781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 36435 ME Primary

Addresses

Primary practice location

10 Water St Ste 307
Waterville, ME 04901-6566

Mailing address

10 Water St Ste 307
Waterville, ME 04901-6566
Phone (207) 861-6200

Other identifiers 1

IdentifierTypeStateIssuer
132510000MedicaidME

Other names 2

  • HealthReach Network Doing business as
  • MaineGeneral Community Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051118000040 ME Part A Provider - Hospice 2163316548 Practice locations: Waterville, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427145358. Details of each certification follow.

Hospice certification: CCN 201500A

Legal name
MAINEGENERAL HEALTH
Doing business as
MAINEGENERAL COMMUNITY CARE
Organization structure
CorporationNon-profit
Incorporated
Sep 7, 1966 in ME
Enrollment address
10 Water St
Ste 307
Waterville, ME 04901-6566

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Mainegeneral Community CareCCN 201500
Ownership
Non-Profit
Certified
Jan 18, 1989
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory
Tax ID family
Health Reach Network10 organizations share this tax ID, including this one
Part of
Health Reach Network

Other organizations with this tax ID 9

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

Locations

10 Water St
Ste 306
Waterville, ME 04901
Phone (207) 861-3488

10 Water St
Ste 307
Waterville, ME 04901
Phone (207) 861-6200

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Shannon Lockwood Individual Corporate Director Oct 1, 2021
Gregory M Pizzo Individual W-2 Managing Employee Oct 23, 1989
Andrew B Maclean Individual Corporate DirectorChair Jan 1, 2017
Lynn M Cote Individual Corporate Director Oct 1, 2021
Terrence Brann Individual Corporate OfficerChief Financial Officer Jan 1, 2015
Claudia L Glynn Individual W-2 Managing EmployeeFNP Jan 1, 2017
Erin Sheets Individual Corporate Director Oct 1, 2019
Jennifer Riggs Individual Corporate OfficerCeo, MGCC Jan 1, 2017
W-2 Managing EmployeeCeo, MGCC & Cno, MGMC Jan 1, 2017
Ann Davis Individual Corporate DirectorBoard Member Jan 1, 2017
Pamela Trinward Individual Corporate Director Jan 27, 2010
Sherry Rogers Individual Corporate DirectorVice Chair Jan 1, 2017

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1427145358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WATER ST STE 307",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016566",
            "telephone_number": "207-861-6200",
            "fax_number": "207-861-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WATER ST STE 307",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016566",
            "telephone_number": "207-861-6200",
            "fax_number": "207-861-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEGENERAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINEGENERAL HEALTH",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD-CROSBY",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "207-621-3781"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "ME",
            "license": "36435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132510000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthReach Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MaineGeneral Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.