Active NPI
Davis Long Term Care Grop Inc
- Assisted Living Facility
- Springvale, ME
National Provider Identifier
1497956528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- ALLS2351
- Legal business name
- DAVIS LONG TERM CARE GROP INC
- Practice address
- 51 Main St
Springvale, ME 04083-1843 - Phone
- (207) 324-4757
- Fax
- (207) 490-6530
- NPI assigned
- May 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula Houst
- Title
- Cfo
- Phone
- (207) 594-4985
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALLS2351 | ME | Primary |
Addresses
Primary practice location
51 Main St
Springvale, ME 04083-1843
Mailing address
58 Park St
Suite 202
Rockland, ME 04841-2862
Phone (207) 594-4985
Other names 1
- THE LODGES CARE CENTER INC
National Provider Directory
National Provider Directory- Tax ID family
- Davis Long Term Care Grop Inc
Other organizations with this tax ID 22
Organizations that report the same tax identification number in the National Provider Directory.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497956528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PARK ST",
"address_2": "SUITE 202",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048412862",
"telephone_number": "207-594-4985",
"fax_number": "207-594-4974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 MAIN ST",
"city": "SPRINGVALE",
"state": "ME",
"postal_code": "040831843",
"telephone_number": "207-324-4757",
"fax_number": "207-490-6530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVIS LONG TERM CARE GROP INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOUST",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "207-594-4985"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "ME",
"license": "ALLS2351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THE LODGES CARE CENTER INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springvale, ME
Sources for this page
- 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.