NPIMap

Organization Active NPI

Windham Residential Care Facility, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Windham, ME
National Provider Identifier
1508100124
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
WINDHAM RESIDENTIAL CARE FACILITY, INC
Practice address
497 River Rd
Windham, ME 04062-4603
Phone
(207) 892-7141
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Mrs. Carol A Rogers
Title
Owner/Administrator
Phone
(207) 892-7141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

497 River Rd
Windham, ME 04062-4603

Mailing address

495 River Rd
Windham, ME 04062-4603

Other names 1

  • REST-A-VILLE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carols Residential Care Facility3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1508100124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 RIVER RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 RIVER RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624603",
            "telephone_number": "207-892-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM RESIDENTIAL CARE FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "207-892-7141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REST-A-VILLE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.