392 Main Street Operator LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

392 MAIN STREET OPERATOR LLC

Practice address

392 Main St
Saco, ME 04072-1521

Phone

(207) 284-0900

NPI assigned

Aug 22, 2017

Organization subpart

No

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

Authorized official

Name

William H Stephan

Title

Cfo

Phone

(617) 943-7747

Specialties & licenses 1

Addresses

Other names 1

• The Landing at Saco Bay Doing business as

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467978494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 MAIN ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721521",
            "telephone_number": "207-284-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 MAIN ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721521",
            "telephone_number": "207-284-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "392 MAIN STREET OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "617-943-7747"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Landing at Saco Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela L Abbott, LMSW-CC
• Karen L Abendroth, LCSW
• Able Healthcare, Inc.
• Able Home Health, Inc
• Donna Marie Abram-Cioppa, LCSW

• All providers in Saco, ME
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.