Woodlands Senior Living of Brewer, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

132990000 Issued in ME

Legal business name

WOODLANDS SENIOR LIVING OF BREWER, LLC

Doing business as

Woodlands Assisted Living of Brewer

Practice address

53 Colonial Cir
Brewer, ME 04412-1448

Phone

(207) 989-7577

Fax

(207) 989-0577

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jill A Sirois, RN

Title

Professional Services Consultant

Phone

(207) 872-8992

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodlands Assisted Living of Brewer Doing business as

Tax ID family

Woodlands Assisted Living of Brewer2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Woodlands Senior Living of Brewer, LLC

  dba Woodlands Memory Care of Brewer

  • Alzheimer Center (Dementia Center)
  • Brewer, ME
  • NPI 1861613879
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa M Bartlett, FNP

  • Family Nurse Practitioner
  • Bangor, ME
  • NPI 1386980829
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1518939172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 COLONIAL CIR",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121448",
            "telephone_number": "207-989-7577",
            "fax_number": "207-989-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 COLONIAL CIR",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121448",
            "telephone_number": "207-989-7577",
            "fax_number": "207-989-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS SENIOR LIVING OF BREWER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "SIROIS",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROFESSIONAL SERVICES CONSULTANT",
        "authorized_official_telephone_number": "207-872-8992",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "132990000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132990000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands Assisted Living of Brewer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• West Residential Care L.L.C.
• Abbie Leigh Wickett, LCPC
• William Eugene Wiggin, LCSW
• Jaime Nicole Williams, FNP-C
• Joni L Winkler, FNPC, PMHNP
• Woodlands Senior Living of Brewer, LLC (Woodlands Memory Care of Brewer)
• Alexander Hoi Ki Wu
• Dina Yacoubagha
• Jennifer Ann Young, CADC
• Nicole Young, CADC

• Assisted Living Facility in Brewer, ME
• Providers in Brewer, ME by specialty
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.