NPIMap

Organization Active NPI

Community Health and Counseling Services

  • Community Based Hospice Care Agency
  • Bangor, ME
National Provider Identifier
1508921842
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
36489 Issued in ME
Legal business name
COMMUNITY HEALTH AND COUNSELING SERVICES
Practice address
42 Cedar St
Bangor, ME 04402-0425
Phone
(207) 947-0366
NPI assigned
Dec 27, 2006
Last updated
Nov 23, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH AND COUNSELING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Dale Hamilton
Title
Executive Director
Phone
(207) 947-0366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 36489 ME Primary

Addresses

Primary practice location

42 Cedar St
Bangor, ME 04402-0425

Mailing address

42 Cedar St
PO Box 425
Bangor, ME 04402-0425
Phone (207) 947-0366

Other identifiers 2

IdentifierTypeStateIssuer
101750300MedicaidME
BD2OtherMEANTHEM (HOSPICE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090521000422 ME Part A Provider - Hospice 4880658590 Practice locations: Bangor, ME; Machias, ME; Dover Foxcroft, ME; Lincoln, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508921842. Details of each certification follow.

Hospice certification: CCN 201514

Legal name
COMMUNITY HEALTH AND COUNSELING SERVICES
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 17, 1997
Last certification
Sep 12, 2019
Ownership / control type
Other
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1883 in ME
Enrollment address
42 Cedar St
Bangor, ME 04401-6433

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Community Health & Counseling ServicesCCN 201514 · All quality measures
Ownership
Non-Profit
Certified
Jul 17, 1997
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Community Health and Counseling Services3 organizations share this tax ID, including this one
Part of
Community Health and Counseling Services

Other organizations with this tax ID 2

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

Locations

24 Stone St
Augusta, ME 04330
Phone (207) 582-8400

42 Cedar St
#3R
Bangor, ME 04401

10 Barker St
Calais, ME 04619
Phone (207) 454-2743

7 Hatch Dr
Ste 120
Caribou, ME 04736
Phone (207) 496-3166

14 Summer St
Dovr Foxcroft, ME 04426
Phone (207) 564-2267

1 High St
Ellsworth, ME 04605
Phone (207) 667-6790

415 Water St
Ellsworth, ME 04605
Phone (207) 610-8018

52 Christian Ridge Rd
Ste B
Ellsworth, ME 04605
Phone (207) 610-8016

86 Main St
#2
Machias, ME 04654
Phone (207) 255-8311

30 High St
Skowhegan, ME 04976
Phone (207) 474-8368

78 Madison Ave
Skowhegan, ME 04976
Phone (207) 612-3019

201 Main St
Ste 6
Westbrook, ME 04092
Phone (207) 591-4452

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tori J Britton Individual Corporate DirectorBoard Member Sep 18, 2019
Charles M Hutchins Individual Corporate DirectorBoard Member Nov 1, 2008
Laura Carey Individual W-2 Managing EmployeeManager of Clinical Operations Apr 24, 2015
Angela T Butler Individual Corporate DirectorTreasurer of the Board Jul 15, 2009
Nicole C Stevens Individual Corporate DirectorBoard Member Jul 15, 2015
Timothy C Woodcock Individual Corporate DirectorBoard Member Nov 1, 2008
Elizabeth O Lastaiti Individual Corporate DirectorBoard Member - Secretary of the Apr 24, 2013
David a Cole Individual Corporate DirectorBoard Member Dec 9, 2020
Beatrice M Szantyr Individual Corporate DirectorBoard Member Nov 10, 2008
Glenn D Goodwin Individual Corporate DirectorBoard Member - Presid Oct 15, 2022
Suzanne H Svendsen Individual Corporate DirectorBoard Member Nov 1, 2008
Pamela Richardson Individual W-2 Managing EmployeeManager of Clinical Operations Mar 16, 2017
Shelley L Sund Individual Corporate DirectorBoard Member Sep 18, 2019
Bernard Angst Individual Corporate OfficerCfo Jul 1, 2011
W-2 Managing EmployeeCfo Jul 1, 2011
John B Miller Individual Corporate DirectorBoard Member - First Vice Presid Nov 1, 2008
Dale Hamilton Individual Corporate OfficerExecutive Director Jan 1, 2009
W-2 Managing EmployeeExecutive Director Jan 1, 2009
Michael R Bazinet Individual Corporate DirectorPresident of the Board Feb 27, 2013
Roberta E Winchell Individual Corporate DirectorBoard Member Sep 21, 2016

Practitioners & affiliated clinicians

Practitioners 46

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.

View all 46

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1508921842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CEDAR ST",
            "address_2": "PO BOX 425",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044020425",
            "telephone_number": "207-947-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CEDAR ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044020425",
            "telephone_number": "207-947-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH AND COUNSELING SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH AND COUNSELING SERVICES",
        "enumeration_date": "2006-12-27",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-947-0366"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "ME",
            "license": "36489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101750300",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM (HOSPICE)",
            "identifier": "BD2",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.