Organization Active NPI

Horizons Living and Rehab Center, Inc

  • Nursing Facility/Intermediate Care Facility
  • Brunswick, ME
National Provider Identifier
1699073080
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
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

Updated by the provider on Sep 13, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1699073080MedicaidME

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 CenterCCN 205085 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6558.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0672832Horizons Living and Rehab Center29 Maurice Dr, Brunswick, ME 04011Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Lesley Davison Individual Operational/Managerial Control Jan 21, 2025
Adp of the SNF Jan 21, 2025
Mitchell Rousseau Individual 5% Or Greater Direct Ownership InterestPresident/Owner Jun 14, 2011 100%
Corporate OfficerOwner-President Jun 15, 2011 100%
Adp of the SNF Jun 15, 2011
Kirsten a Berman Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Mar 17, 2025
Peter Davison Individual 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.

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.

Affiliated clinicians 1

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

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

Verify at the official NPI Registry.