Oak Grove Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PA3557 Issued in ME

Legal business name

OAK GROVE CENTER

Practice address

27 Cool St
Waterville, ME 04901-5221

Phone

(207) 873-0721

Fax

(207) 877-2287

NPI assigned

Nov 5, 2009

Last updated

Nov 5, 2009By 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

Mr. Jeremy Paules, PTANPI 1346620796

Title

Physical Therapist Assistant

Phone

(207) 873-0721

Specialties & licenses 1

Addresses

Tax ID family

Oak Grove Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Waterville SNF Operations, LLC

  dba Oak Grove Center

  • Skilled Nursing Facility
  • Waterville, ME
  • NPI 1760544100
  NPD tax ID

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.

• Jeremy Paules

  • Physical Therapy Assistant
  • Waterville, ME
  • NPI 1346620796
  Authorized official Same address or phone

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1457688962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COOL ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015221",
            "telephone_number": "207-873-0721",
            "fax_number": "207-877-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 COOL ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015221",
            "telephone_number": "207-873-0721",
            "fax_number": "207-877-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK GROVE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "PAULES",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "207-873-0721",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "PA3557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Nurick, PHD
• Allan W Nyman, DPM
• Douglas A O'Heir, D.P.M.
• Anna Virginia O'Keefe, DMD
• Bridget O'Rourke, LCSW
• Oakes Dental Waterville
• Sara Oberle, LMSW
• Jenna L. Ogden, D.P.T.
• Linda Lee Ohnmacht, NP
• Sheridan R Oldham, MD

• Skilled Nursing Facility in Waterville, ME
• Providers in Waterville, ME by specialty
• Skilled Nursing Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.