Old Town Residential Services Corp.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RCA865 Issued in ME

Legal business name

OLD TOWN RESIDENTIAL SERVICES CORP.

Doing business as

The Meadows

Practice address

110 Perkins Ave
Old Town, ME 04468-1763

Phone

(207) 827-0547

Fax

(207) 827-2397

NPI assigned

Mar 24, 2009

Last updated

Mar 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Iona M. Crowley

Title

Secretary/Treasurer

Phone

(207) 827-6151

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Meadows Doing business as

Practitioners 1

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.

• M Morag Robertson, AGNP

  • Adult Health Nurse Practitioner
  • Bangor, ME
  • NPI 1710345699
  NPD (past)

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1548401474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044680404",
            "telephone_number": "207-827-6151",
            "fax_number": "207-827-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PERKINS AVE",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044681763",
            "telephone_number": "207-827-0547",
            "fax_number": "207-827-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD TOWN RESIDENTIAL SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "IONA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "207-827-6151",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "RCA865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER WITH STATE OF MAINE",
            "identifier": "160470000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Meadows",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noonan Chiropractic
• Todd D O'Brien, DPM
• Byron Judson Oakes, LLI,MHRT-1, PSS
• Emily Odermann
• Heather D Okeefe, PMHNP
• Old Town School Dept. (Old Town Regional Day Treatment Program)
• Jenny Marie Omlor, LCPC, CADC, CCS
• Evan Mark Paradis, BS ATC
• Kaliope C. Parousis, DO
• Sharon Ann Peacock, MED

• Assisted Living Facility in Old Town, ME
• Providers in Old Town, 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 Mar 24, 2009; 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.