St Josephs Rehabilitation & Residence

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1790776110 Issued in ME

Legal business name

ST JOSEPHS REHABILITATION & RESIDENCE

Practice address

1133 Washington Ave
Portland, ME 04103-3629

Phone

(207) 797-0600

NPI assigned

Apr 29, 2015

Last updated

Aug 17, 2015By 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

Peggy Farrington

Title

Administrator

Phone

(207) 797-0600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1457738395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033629",
            "telephone_number": "207-797-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033629",
            "telephone_number": "207-797-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS REHABILITATION & RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "FARRINGTON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-797-0600"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "1790776110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sr Home Care Services LLC (Sandy River Home Resources)
• Elizabeth St Clair
• Renee M St Germain, PHARMD
• Victoria Lillios St Hilaire, APRN-CNP
• Kelley St John, RN
• St Josephs Rehabilitation & Residence
• Cheryll St Onge, CRNA
• Teresa Marie St Peter, LCPC-C
• Jean St Pierre, CRNA
• Storme St Valle, APRN-CNP

• Skilled Nursing Facility in Portland, ME
• Providers in Portland, 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 Aug 17, 2015; 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.