Islandview Residential Care Facility

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

3001917 Issued in ME

Legal business name

ISLANDVIEW RESIDENTIAL CARE FACILITY

Practice address

48 Herbs Hwy
Jonesport, ME 04649-3215

Phone

(207) 497-2376

NPI assigned

Feb 27, 2009

Last updated

Feb 27, 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

Mrs. Linda M. Smith

Title

Administrator

Phone

(207) 497-2376

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1669612859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HERBS HWY",
            "city": "JONESPORT",
            "state": "ME",
            "postal_code": "046493215",
            "telephone_number": "207-497-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 HERBS HWY",
            "city": "JONESPORT",
            "state": "ME",
            "postal_code": "046493215",
            "telephone_number": "207-497-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLANDVIEW RESIDENTIAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-497-2376",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ME",
            "license": "3001917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Libby FNP-BC (Moosabec Medical)
• Rhonda Evelyn Chambers
• Elizabeth Jane Daley, LCSW
• Down East Community Hospital (Arnold Memorial Medical Center)
• Evergreen Assisted Living of Jonesport
• Jonesport-Beals Family Clinic
• Moosabec Ambulance Service
• Moosabec Community School District (Jonesport-Beals High School)
• Sunrise Adult Family Home Care
• Sunrise Assisted Living LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jonesport, ME
• Providers in Jonesport, ME by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.