Bridgton Health Care Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1857 Issued in ME

Legal business name

BRIDGTON HEALTH CARE CENTER

Practice address

186 Portland Rd
Bridgton, ME 04009-4224

Phone

(207) 786-0111

Fax

(207) 783-5016

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By 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. David R Hicks

Title

Owner

Phone

(207) 786-0111

Specialties & licenses 1

Addresses

Other names 1

• Bridgton Residential Care Center Other name

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487861548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 SUMMER ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105125",
            "telephone_number": "207-786-0111",
            "fax_number": "207-783-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 PORTLAND RD",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040094224",
            "telephone_number": "207-786-0111",
            "fax_number": "207-783-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGTON HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-786-0111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "1857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgton Residential Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Audreigh Anna Brede, PT, DPT
• Bridgton Chiropractic Center, Inc.
• Bridgton Dental Associates
• Bridgton Dental Hygiene Care, PA
• Bridgton Eye Care, LLC (Christine Newell, O.D.)
• Bridgton Health Care Center Inc
• Bridgton Hospital
• Bridgton Hospital (Bridgton Hospital Swing Bed)
• Brock Bridgton LLC (Bella Point Bridgton Assisted Living)
• Brock Health Inc

• Assisted Living Facility in Bridgton, ME
• Providers in Bridgton, ME by specialty
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.