Greenwood Nursing Care Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

36135 Issued in ME

Legal business name

GREENWOOD NURSING CARE CENTER, INC

Practice address

1142 Main St
Sanford, ME 04073-3614

Phone

(207) 324-2273

Fax

(207) 490-2273

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Richard Boisvert

Title

Administrator

Phone

(207) 324-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GREENWOOD CENTER Other name

Locations

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1578567988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 MAIN ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733614",
            "telephone_number": "207-324-2273",
            "fax_number": "207-490-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1142 MAIN ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733614",
            "telephone_number": "207-324-2273",
            "fax_number": "207-490-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD NURSING CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "BOISVERT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-324-2273"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "36135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107690000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENWOOD CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Skilled Nursing Facility in Sanford, ME
• Providers in Sanford, ME by specialty
• Skilled Nursing Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.