Organization Active NPI

Rousseau Enterprises, Inc.

Doing business as Skolfield House

  • Assisted Living Facility
  • Brunswick, ME
National Provider Identifier
1558390112
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALLS1778 Issued in ME
Legal business name
ROUSSEAU ENTERPRISES, INC.
Doing business as
Skolfield House
Practice address
26 Cumberland St
Brunswick, ME 04011-1928
Phone
(207) 725-5801
Fax
(207) 725-1404
NPI assigned
Jul 3, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mitchell A. Rousseau
Title
President
Phone
(207) 725-4071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALLS1778 ME Primary

Addresses

Primary practice location

26 Cumberland St
Brunswick, ME 04011-1928

Mailing address

26 Cumberland St
Brunswick, ME 04011-1928
Phone (207) 725-5801

Other identifiers 1

IdentifierTypeStateIssuer
111890004MedicaidME

Other names 1

  • Skolfield House Doing business as

National Provider Directory

National Provider Directory

Locations

26 Cumberland St
Brunswick, ME 04011
Phone (207) 725-5801

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1558390112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CUMBERLAND ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111928",
            "telephone_number": "207-725-5801",
            "fax_number": "207-725-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CUMBERLAND ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111928",
            "telephone_number": "207-725-5801",
            "fax_number": "207-725-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUSSEAU ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ROUSSEAU",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-725-4071"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS1778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111890004",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skolfield House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.