Woodlands Senior Living of Madison LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

WOODLANDS SENIOR LIVING OF MADISON LLC

Doing business as

Woodlands Memory Care of Madison

Practice address

141 W River Rd Ste 400
Waterville, ME 04901-5184

Phone

(207) 872-8992

Fax

(207) 861-7072

NPI assigned

Apr 8, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Matthew L Walters

Title

Chief Operating Officer

Phone

(207) 872-8992

Specialties & licenses 1

Addresses

Other names 1

• Woodlands Memory Care of Madison Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Rosalia Banks Paulino, MD

  • Internal Medicine Physician
  • Skowhegan, ME
  • NPI 1942795885
  NPD (past)
• Susan Renee Folk, NP

  • Family Nurse Practitioner
  • Augusta, ME
  • NPI 1013343342
  NPD (past)

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1710440714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W RIVER RD STE 400",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015184",
            "telephone_number": "207-872-8992",
            "fax_number": "207-861-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W RIVER RD STE 400",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015184",
            "telephone_number": "207-872-8992",
            "fax_number": "207-861-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS SENIOR LIVING OF MADISON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "207-872-8992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands Memory Care of Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Winslow Public Schools
• Deborah I Witkin, MD
• Steve Richard Witkin, M.D.
• Maxine Wolph-Johnson
• Robin M Wood, M.D.
• Woodlands Senior Living of Waterville, Inc.
• Woodlands Senior Living of Waterville, Inc.
• Woodlands Senior Living of Waterville, LLC
• Jimmie J Woodlee, PA
• Kristi Marie Woods, RNC

• Alzheimer Center (Dementia Center) in Waterville, ME
• Providers in Waterville, ME by specialty
• Alzheimer Center (Dementia Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.