Organization Active NPI

Phillips-Strickland House

  • Assisted Living Facility
  • Bangor, ME
National Provider Identifier
1447334479
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALLS-1399 Issued in ME
Legal business name
PHILLIPS-STRICKLAND HOUSE
Practice address
21 Boyd St
Bangor, ME 04401-6560
Phone
(207) 941-2820
Fax
(207) 941-2829
NPI assigned
Oct 25, 2006
Last updated
Apr 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Andrew Cassidy
Title
Business Manager
Phone
(207) 941-2820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALLS-1399 ME Primary

Addresses

Primary practice location

21 Boyd St
Bangor, ME 04401-6560

Mailing address

21 Boyd St
Bangor, ME 04401-6560
Phone (207) 941-2820

Other identifiers 1

IdentifierTypeStateIssuer
107540000MedicaidME

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
20D2205624Phillips-Strickland House, Corp21 Boyd St, Bangor, ME 04401Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1447334479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BOYD ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016560",
            "telephone_number": "207-941-2820",
            "fax_number": "207-941-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BOYD ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016560",
            "telephone_number": "207-941-2820",
            "fax_number": "207-941-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS-STRICKLAND HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "207-941-2820"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS-1399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107540000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.