NPIMap

Organization Active NPI

Davis Long Term Care Group Inc

Doing business as Marshall Manor

  • Assisted Living Facility
  • Machias, ME
National Provider Identifier
1598966616
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALLS2481 Issued in ME
Legal business name
DAVIS LONG TERM CARE GROUP INC
Doing business as
Marshall Manor
Practice address
10 Cooper St
Machias, ME 04654-1115
Phone
(207) 255-6611
Fax
(207) 255-0689
NPI assigned
May 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Paula Houst
Title
Cfo
Phone
(207) 594-4985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALLS2481 ME Primary

Addresses

Primary practice location

10 Cooper St
Machias, ME 04654-1115

Mailing address

58 Park St
Suite 202
Rockland, ME 04841-2862
Phone (207) 594-4985

Other names 1

  • MARSHALL MANOR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davis Long Term Care Group Inc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598966616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PARK ST",
            "address_2": "SUITE 202",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412862",
            "telephone_number": "207-594-4985",
            "fax_number": "207-594-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COOPER ST",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046541115",
            "telephone_number": "207-255-6611",
            "fax_number": "207-255-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS LONG TERM CARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOUST",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-594-4985"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS2481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARSHALL MANOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Machias, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.