The Beacon Project

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

ALLS2773 Issued in ME

Legal business name

THE BEACON PROJECT

Practice address

131 Main Rd
Islesboro, ME 04848-4501

Phone

(207) 734-2100

Fax

(207) 734-2101

NPI assigned

Jun 9, 2009

Organization subpart

No

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

Authorized official

Name

Maura M Michael

Title

Administrator

Phone

(207) 734-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boardman Cottage Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen B Kerr, MSN; APRN, CNS

  • Adult Psychiatric/Mental Health Registered Nurse
  • Islesboro, ME
  • NPI 1558515890
  NPD (past)

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1447486162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN RD",
            "city": "ISLESBORO",
            "state": "ME",
            "postal_code": "048484501",
            "telephone_number": "207-734-2100",
            "fax_number": "207-734-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN RD",
            "city": "ISLESBORO",
            "state": "ME",
            "postal_code": "048484501",
            "telephone_number": "207-734-2100",
            "fax_number": "207-734-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEACON PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "MAURA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-734-2100"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "ME",
            "license": "ALLS2773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431996200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boardman Cottage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Islesboro Central School
• Kathleen B Kerr, MSN; APRN, CNS
• Michael Edward Kerr, M.D.
• Edith Konesni, PA
• Elizabeth J O'Mara, FNP-BC
• Town of Islesboro
• Town of Islesboro
• Dorie Anne Weir, FNP
• Alison Farnham Wood, PA-C

• Adult Care Home Facility in Islesboro, ME
• Providers in Islesboro, ME by specialty
• Adult Care Home Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.