NPIMap

Organization Active NPI

Mainehealth

  • Nursing Facility/Intermediate Care Facility
  • Boothbay Harbor, ME
National Provider Identifier
1669952446
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
MAINEHEALTH
Practice address
145 Emery LN
Boothbay Harbor, ME 04538-1963
Phone
(207) 633-0920
NPI assigned
Aug 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lugene Anthony Inzana
Title
Associate Cfo
Phone
(207) 662-3538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X Primary

Addresses

Primary practice location

145 Emery LN
Boothbay Harbor, ME 04538-1963

Mailing address

145 Emery LN
Boothbay Harbor, ME 04538-1963

Other names 1

  • Gregory Wing at St. Andrews Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maine Medical Assoc84 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1669952446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 EMERY LN",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 EMERY LN",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381963",
            "telephone_number": "207-633-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "INZANA",
        "authorized_official_first_name": "LUGENE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "ASSOCIATE CFO",
        "authorized_official_telephone_number": "207-662-3538"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gregory Wing at St. Andrews Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gregory Wing at St. Andrews Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boothbay Harbor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.