The Elms Personal Care Home, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

ALLS 3621 Issued in ME

Legal business name

THE ELMS PERSONAL CARE HOME, INC.

Practice address

35 Elm St.
North Anson, ME 04958

Phone

(207) 635-2567

NPI assigned

Jun 17, 2009

Last updated

Oct 9, 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

Mr. Carl P. Rudman

Title

President/Administrator

Phone

(207) 399-3707

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1609003623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "address_2": "35 ELM ST.",
            "city": "NORTH ANSON",
            "state": "ME",
            "postal_code": "049580006",
            "telephone_number": "207-635-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ELM ST.",
            "city": "NORTH ANSON",
            "state": "ME",
            "postal_code": "04958",
            "telephone_number": "207-635-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELMS PERSONAL CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "RUDMAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "207-399-3707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ME",
            "license": "ALLS 3621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114810000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Elaine Cram, MA, CCC-SLP
• Eastern Maine Healthcare Systems Inland Hospital (Inland Family Care - North Anson)
• Leslie Marie Jones
• Robin Lynne Kanagy, OTR/L
• RSV #74

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Anson, ME
• Providers in North Anson, ME by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.