Sanford Senior Care Operations, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

SANFORD SENIOR CARE OPERATIONS, LLC

Doing business as

Summer Commons

Practice address

21 June Street
Sanford, ME 04073-0424

Phone

(207) 786-3554

Fax

(207) 786-8507

NPI assigned

Feb 15, 2021

Last updated

Feb 15, 2021By 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. Glen G Cyr

Title

Senior VP Finance

Phone

(207) 786-3554

Specialties & licenses 1

Addresses

Other names 1

• Summer Commons Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669065363. Details of each certification follow.

• CCN 205012 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 205012

Legal name

SANFORD SENIOR CARE OPERATIONS, LLC

Doing business as

SUMMER COMMONS

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 8, 1972

Last certification

Nov 16, 2022

Beds

64

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Sep 13, 2019 in ME

Enrollment address

21 June St
Sanford, ME 04073-2620

Nursing home name

SUMMER COMMONS

Listed as

Summer CommonsCCN 205012 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Sep 8, 1972

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6461.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• North Country Associates, Inc

  dba Edgewood Living Center

  • Skilled Nursing Facility
  • Farmington, ME
  • NPI 1043370273

  Operational/Managerial Control

  CMS ownership
• North Country Associates, Inc

  dba Maplecrest Living Center

  • Skilled Nursing Facility
  • Madison, ME
  • NPI 1154481398

  Operational/Managerial Control

  CMS ownership
• North Country Associates, Inc

  dba Sanfield Living Center

  • Skilled Nursing Facility
  • Hartland, ME
  • NPI 1326108002

  Operational/Managerial Control

  CMS ownership
• North Country Associates, Inc

  dba Southridge Living Center

  • Skilled Nursing Facility
  • Biddeford, ME
  • NPI 1629138789

  Operational/Managerial Control

  CMS ownership
• North Country Associates, Inc

  dba Orchard Park Living Center

  • Skilled Nursing Facility
  • Farmington, ME
  • NPI 1942362116

  Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlotte Paolini, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
  • NPI 1609852946
  NPD (past)
• Jose A Ventura, MD, FHM, FAAFP

  • Family Medicine Physician
  • Topsham, ME
  • NPI 1932337763
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Charlotte Paolini, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
  • NPI 1609852946

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1669065363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1408",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042431408",
            "telephone_number": "207-786-3554",
            "fax_number": "207-786-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 JUNE STREET",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040730424",
            "telephone_number": "207-786-3554",
            "fax_number": "207-786-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD SENIOR CARE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "CYR",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SENIOR VP FINANCE",
        "authorized_official_telephone_number": "207-786-3554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summer Commons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip Christian Russell, M.D.
• Safe Harbor Resources (SHR, Inc.)
• Darren S. Sandler, LCPC
• Sanford Denture Clinic, LLC
• Sanford Familt Dental, LLC
• Amit Sanyal, MD
• Alice J Schleinderer, EDD
• Steven J Schneider, M.D.
• Anna Marie Scopellito-Olsen, M.D.
• Patricia Creedon Scott, PT

• Nursing Care Agency in Sanford, ME
• Providers in Sanford, ME by specialty
• Nursing Care Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.