NPIMap

Organization Active NPI

Lincolnhealth Coves Edge

Doing business as Riverside Adult Day Services

  • Physical Disabilities Residential Treatment Facility
  • Damariscotta, ME
National Provider Identifier
1508952771
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
ALLS1131 Issued in ME
Legal business name
LINCOLNHEALTH COVES EDGE
Doing business as
Riverside Adult Day Services
Practice address
51 Schooner St
Damariscotta, ME 04543-4055
Phone
(207) 563-4629
Fax
(207) 563-4674
NPI assigned
Oct 5, 2006
Organization subpart
Yes
Parent organization
LINCOLNHEALTH COVES EDGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Wayne R Printy
Title
Cfo
Phone
(207) 633-8413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X ALLS1131 ME Primary

Addresses

Primary practice location

51 Schooner St
Damariscotta, ME 04543-4055

Mailing address

26 Schooner St
Damariscotta, ME 04543-4051
Phone (207) 563-4629

Other identifiers 1

IdentifierTypeStateIssuer
112930000MedicaidME

Other names 1

  • Riverside Adult Day Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lincolnhealth Coves Edge5 organizations share this tax ID, including this one
Part of
Lincolnhealth Coves Edge

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1508952771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SCHOONER ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434051",
            "telephone_number": "207-563-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SCHOONER ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434055",
            "telephone_number": "207-563-4629",
            "fax_number": "207-563-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLNHEALTH COVES EDGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINCOLNHEALTH COVES EDGE",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "PRINTY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-633-8413"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "ME",
            "license": "ALLS1131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112930000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Adult Day Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside Adult Day Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Damariscotta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.