Sentry Inn @ York Harbor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALLS3266 Issued in ME

Legal business name

SENTRY INN @ YORK HARBOR LLC

Practice address

2 Victoria CT
York, ME 03909-1455

Phone

(207) 363-5116

Fax

(207) 363-4182

NPI assigned

Sep 14, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Sheryl A Bradley

Title

Cfo

Phone

(207) 782-4797

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SENTRY INN Other name

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1699008276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 GODDARD RD",
            "address_2": "SUITE A",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042401000",
            "telephone_number": "207-782-4797",
            "fax_number": "207-777-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 VICTORIA CT",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091455",
            "telephone_number": "207-363-5116",
            "fax_number": "207-363-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTRY INN @ YORK HARBOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-782-4797",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS3266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130650000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENTRY INN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in York, ME
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.