NPIMap

Organization Active NPI

Eldercare Network of Lincoln County

Doing business as Jefferson Green

  • Assisted Living Facility
  • Jefferson, ME
National Provider Identifier
1609077338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALLS1720 Issued in ME
Legal business name
ELDERCARE NETWORK OF LINCOLN COUNTY
Doing business as
Jefferson Green
Practice address
77 Waldoboro Rd
Jefferson, ME 04348-3875
Phone
(207) 549-3540
NPI assigned
May 30, 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
Andrea Handel
Title
Administrator
Phone
(207) 563-2148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALLS1720 ME Primary

Addresses

Primary practice location

77 Waldoboro Rd
Jefferson, ME 04348-3875

Mailing address

PO Box 652
Damariscotta, ME 04543-0652

Other names 1

  • Jefferson Green Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eldercare Network of Lincoln County7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

77 Waldoboro Rd
Jefferson, ME 04348
Phone (207) 549-3540

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609077338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 652",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045430652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WALDOBORO RD",
            "city": "JEFFERSON",
            "state": "ME",
            "postal_code": "043483875",
            "telephone_number": "207-549-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE NETWORK OF LINCOLN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANDEL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-563-2148"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS1720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Green",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson, 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.