Woodlands Senior Living of Farmington, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

WOODLANDS SENIOR LIVING OF FARMINGTON, LLC

Doing business as

Woodlands Memory Care of Farmington

Practice address

175 Knowlton Corner Rd.
Farmington, ME 04938

Phone

(207) 872-8992

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Jill Sirois

Title

HR & Risk Mgmnt Services Consultant

Phone

(207) 872-8992

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodlands Memory Care of Farmington Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Park Residences of Farmington3 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.

• Woodlands Senior Living of Farmington, LLC

  • Assisted Living Facility
  • Farmington, ME
  • NPI 1205325909
  NPD tax ID
• Woodlands Senior Living of Farmington, LLC

  • Assisted Living Facility
  • Farmington, ME
  • NPI 1235628934
  NPD tax ID

Practitioners 2

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

• Susan Renee Folk, NP

  • Family Nurse Practitioner
  • Augusta, ME
  • NPI 1013343342
  NPD (past)
• Carlen Smith

  • Geriatric Medicine (Family Medicine) Physician
  • Augusta, ME
  • NPI 1295199453
  NPD (past)

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1538615224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 KNOWLTON CORNER RD.",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "04938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 KNOWLTON CORNER RD.",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "04938",
            "telephone_number": "207-872-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS SENIOR LIVING OF FARMINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "SIROIS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "HR & RISK MGMNT SERVICES CONSULTANT",
        "authorized_official_telephone_number": "207-872-8992",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID NUMBER PENDING",
            "identifier": "PENDING",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands Memory Care of Farmington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James McComb Witt IV, RPH
• Robert Scott Witt, RPH
• Paul Blake Wooden, MD
• Woodlands Senior Living of Farmington, LLC
• Woodlands Senior Living of Farmington, LLC
• Work First, Inc.
• Leann Wright
• Brian Wroble, DMD
• Yoon Imaging, PLLC
• Emily Elizabeth Young, MD

• Alzheimer Center (Dementia Center) in Farmington, ME
• Providers in Farmington, ME by specialty
• Alzheimer Center (Dementia Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.