Woodlands Senior Living of Cape Elizabeth, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

WOODLANDS SENIOR LIVING OF CAPE ELIZABETH, LLC

Practice address

126 Scott Dyer Rd
Cape Elizabeth, ME 04107-2230

Phone

(207) 553-9616

Fax

(207) 553-9618

NPI assigned

Jul 2, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Walters

Title

Chief Operating Officer

Phone

(207) 872-8992

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cape Memory Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Jeffrey Badillo, MD

  • Family Medicine Physician
  • Lewiston, ME
  • NPI 1619538964
  NPD (past)
• Susan Renee Folk, NP

  • Family Nurse Practitioner
  • Augusta, ME
  • NPI 1013343342
  NPD (past)
• Leah D Hayes, FNP

  • Family Nurse Practitioner
  • Augusta, ME
  • NPI 1902775299
  NPD (past)
• Marjorie Hunt, NP

  • Nurse Practitioner
  • Augusta, ME
  • NPI 1346735032
  NPD (past)

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1487966792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W RIVER RD STE 300",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015184",
            "telephone_number": "207-872-8992",
            "fax_number": "207-872-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 SCOTT DYER RD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072230",
            "telephone_number": "207-553-9616",
            "fax_number": "207-553-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS SENIOR LIVING OF CAPE ELIZABETH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "207-872-8992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487966792",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cape Memory Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cape Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea N Violette
• Peter B Webber, M.D.
• Christopher A Wellins, MD
• David S. White, PT
• William H. Leschey, PHD, P.a.
• Nadia Zafar, MD

• Alzheimer Center (Dementia Center) in Cape Elizabeth, ME
• Providers in Cape Elizabeth, ME by specialty
• Alzheimer Center (Dementia Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.