NPIMap

Organization Active NPI

Island Commons Resource Center

  • Assisted Living Facility
  • Chebeague Island, ME
National Provider Identifier
1497989412
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALLS3138 Issued in ME
Legal business name
ISLAND COMMONS RESOURCE CENTER
Practice address
132 Littlefield Rd
Chebeague Island, ME 04017-3316
Phone
(207) 846-4456
Fax
(207) 846-9706
NPI assigned
May 5, 2009
Last updated
May 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Mrs. Beth Ross Wiles
Title
Administrator
Phone
(207) 846-5610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALLS3138 ME Primary

Addresses

Primary practice location

132 Littlefield Rd
Chebeague Island, ME 04017-3316

Mailing address

132 Littlefield Rd
Chebeague Island, ME 04017-3316
Phone (207) 846-4456

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1497989412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 LITTLEFIELD RD",
            "city": "CHEBEAGUE ISLAND",
            "state": "ME",
            "postal_code": "040173316",
            "telephone_number": "207-846-4456",
            "fax_number": "207-846-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 LITTLEFIELD RD",
            "city": "CHEBEAGUE ISLAND",
            "state": "ME",
            "postal_code": "040173316",
            "telephone_number": "207-846-4456",
            "fax_number": "207-846-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND COMMONS RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "WILES",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-846-5610",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS3138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chebeague Island, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.