Organization Active NPI

Wardwell Assisted Living Services, Inc

  • Assisted Living Facility
  • Saco, ME
National Provider Identifier
1578662607
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALLS 2020 Issued in ME
Legal business name
WARDWELL ASSISTED LIVING SERVICES, INC
Doing business as
Wardwell Home for the Aging
Practice address
43 Middle St
Saco, ME 04072-3300
Phone
(207) 284-7061
Fax
(207) 283-9642
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Veronica Sheehan, RN
Title
Executive Director
Phone
(207) 284-7061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALLS 2020 ME Primary

Addresses

Primary practice location

43 Middle St
Saco, ME 04072-3300

Mailing address

43 Middle St
Saco, ME 04072-3300
Phone (207) 284-7061

Other names 1

  • Wardwell Home for the Aging Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2251447Wardwell Assisted Living Services, Inc43 Middle Street, Saco, ME 04072Certificate of waiverFeb 2, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578662607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 MIDDLE ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040723300",
            "telephone_number": "207-284-7061",
            "fax_number": "207-283-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 MIDDLE ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040723300",
            "telephone_number": "207-284-7061",
            "fax_number": "207-283-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARDWELL ASSISTED LIVING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-284-7061",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS 2020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wardwell Home for the Aging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saco, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.