Active NPI
Waterville Center for Health and Rehab LLC
Doing business as Mount Joseph
- Nursing Care Agency
- Waterville, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- Legal business name
- WATERVILLE CENTER FOR HEALTH AND REHAB LLC
- Doing business as
- Mount Joseph
- Practice address
- 7 Highwood St
Waterville, ME 04901-5739 - Phone
- (516) 588-8801
- NPI assigned
- Apr 7, 2021
- 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
- Waterville Rehab
- Title
- Manager
- Phone
- (516) 588-8811
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | Primary |
Addresses
Primary practice location
7 Highwood St
Waterville, ME 04901-5739
Mailing address
1800 Rockaway Ave Ste 210
Hewlett, NY 11557-1678
Phone (516) 588-8801
Other names 1
- Mount Joseph
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210823000663 | ME | Part A Provider - Skilled Nursing Facility | 1153726682 | Practice locations: Waterville, ME |
Skilled nursing facility certification: CCN 205120
- Legal name
- WATERVILLE CENTER FOR HEALTH AND REHAB LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1993
- Last certification
- Sep 17, 2024
- Beds
- 111
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Nov 23, 2020 in ME
- Enrollment address
- 7 Highwood St
Waterville, ME 04901-5739 - Nursing home name
- WATERVILLE CENTER FOR HEALTH AND REHAB
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Waterville Center for Health and Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 1, 1993
- Medicare certification status
- Active
- Certified beds
- 111
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2238181 | Waterville Center for Health and Rehab, LLC | Certificate of waiver | Sep 30, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Michael M Biderman | 5% Or Greater Indirect Ownership Interest | Jul 1, 2021 | 50% |
| Operational/Managerial Control | Jul 1, 2021 | ||
| Diane Sinclair | W-2 Managing Employee | Jul 1, 2021 | |
| BSD Me 26 LLC | 5% Or Greater Direct Ownership Interest | May 6, 2021 | 50% |
| Ike Akiko | 5% Or Greater Direct Ownership Interest | May 6, 2021 | 50% |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lewiston, ME
- NPI 1154594117
-
- Internal Medicine Physician
- North Andover, MA
- NPI 1447411764
Affiliated clinicians 2
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": "1617753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629244800000",
"number": "1518546324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 ROCKAWAY AVE STE 210",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115571678",
"telephone_number": "516-588-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HIGHWOOD ST",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015739",
"telephone_number": "516-588-8801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERVILLE CENTER FOR HEALTH AND REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-07",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A",
"authorized_official_last_name": "REHAB",
"authorized_official_first_name": "WATERVILLE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "516-588-8811"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mount Joseph",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waterville, ME
- Elizabeth Ward, LCPC
- Water's Edge Therapy Services, LLC (Mindful Journey Counseling)
- Waters Edge Therapy, Inc
- Waterville Anesthesia Associates, P.a.
- Waterville Audiology PC (Waterville Audiology)
- Waterville Family Practice
- Waterville Home Oxygen, LLC
- Waterville Medical Supplies
- Waterville OB/GYN, PA
- Waterville Pediatrics PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.