Active NPI
Horizons Living and Rehab Center, Inc
- Nursing Facility/Intermediate Care Facility
- Brunswick, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- HORIZONS LIVING AND REHAB CENTER, INC
- Practice address
- 29 Maurice Dr
Brunswick, ME 04011-3270 - Phone
- (207) 725-7495
- Fax
- (207) 725-7195
- NPI assigned
- Mar 9, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mitchell A. Rousseau
- Title
- President
- Phone
- (207) 725-4071
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary | ||
| Skilled Nursing Facility | 314000000X |
Addresses
Primary practice location
29 Maurice Dr
Brunswick, ME 04011-3270
Mailing address
29 Maurice Dr
Brunswick, ME 04011-3270
Phone (207) 725-7495
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699073080 | Medicaid | ME |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110627000019 | ME | Part A Provider - Skilled Nursing Facility | 0648458414 | Practice locations: Brunswick, ME |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1699073080. Details of each certification follow.
Skilled nursing facility certification: CCN 205085
- Legal name
- HORIZONS LIVING AND REHAB CENTER, INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1993
- Last certification
- Aug 28, 2024
- Beds
- 65
- Ownership / control type
- Corporation
- Most recent change of ownership
- Jun 14, 2011
- Organization structure
- Corporation
- Incorporated
- Feb 9, 2010 in ME
- Enrollment address
- 29 Maurice Drive
Brunswick, ME 04011-1501 - Nursing home name
- HORIZONS LIVING AND REHAB CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Horizons Living and Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1993
- Medicare certification status
- Active
- Certified beds
- 65
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D0672832 | Horizons Living and Rehab Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
29 Maurice Dr
Brunswick, ME 04011
Phone (207) 725-7495
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lesley Davison | Operational/Managerial Control | Jan 21, 2025 | |
| Adp of the SNF | Jan 21, 2025 | ||
| Mitchell Rousseau | 5% Or Greater Direct Ownership Interest | Jun 14, 2011 | 100% |
| Corporate Officer | Jun 15, 2011 | 100% | |
| Adp of the SNF | Jun 15, 2011 | ||
| Kirsten a Berman | Operational/Managerial Control | Jan 1, 2023 | |
| Adp of the SNF | Mar 17, 2025 | ||
| Peter Davison | Operational/Managerial Control | Jun 15, 2011 | |
| Adp of the SNF | Jun 15, 2011 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Portland, ME
- NPI 1043280431
Adp of the SNF, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Internal Medicine Physician
- Portland, ME
- NPI 1043280431
-
- Geriatric Medicine (Family Medicine) Physician
- Waterville, ME
- NPI 1205366564
-
- Family Medicine Physician
- Topsham, ME
- NPI 1932337763
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Waterville, ME
- NPI 1205366564
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663027200000",
"number": "1699073080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 MAURICE DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113270",
"telephone_number": "207-725-7495",
"fax_number": "207-725-7195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 MAURICE DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113270",
"telephone_number": "207-725-7495",
"fax_number": "207-725-7195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORIZONS LIVING AND REHAB CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-09",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A",
"authorized_official_last_name": "ROUSSEAU",
"authorized_official_first_name": "MITCHELL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-725-4071",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699073080",
"state": "ME"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.