Brock Wellmore LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BROCK WELLMORE LLC

Doing business as

Wellmore Point Assisted Living

Practice address

40 Palmer St
Calais, ME 04619-1306

Phone

(207) 654-2713

NPI assigned

Dec 2, 2024

Last updated

Dec 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Wesbrock

Title

Chief Executive Officer

Phone

(207) 691-5059

Specialties & licenses 1

Addresses

Other names 1

• WELLMORE POINT ASSISTED LIVING Doing business as

Practitioners 1

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.

• Ernesto Cantu Jr., D.O.

  • General Practice Physician
  • Saint Albans, VT
  • NPI 1164837605
  NPD (past)

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1447076716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PALMER ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191306",
            "telephone_number": "207-654-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PALMER ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191306",
            "telephone_number": "207-654-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK WELLMORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "WESBROCK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "207-691-5059"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLMORE POINT ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Boudreaux, PA
• Nicolas R Bradbury, MHRT-1, OQMHP-PNMI
• Cressey W Brazier, MD
• David C Brilliott, CRNA
• Brock Health Inc
• Devon D Brooks
• Sarina Lynn Brooks, L.C.S.W.
• Amanda S Brown, BHP
• Raymond Brown, C.A.D.C.
• Sarah Leigh Buydos, APRN

• Assisted Living Facility in Calais, ME
• Providers in Calais, ME by specialty
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.