NPIMap

Organization Active NPI

Colonial Healthcare

  • Assisted Living Facility
  • Lincoln, ME
National Provider Identifier
1710977236
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2107 Issued in ME
Legal business name
COLONIAL HEALTHCARE
Practice address
36 Workman Ter
Lincoln, ME 04457-1162
Phone
(207) 794-6534
NPI assigned
Oct 26, 2005
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Wanda Pelkey
Title
Ceo
Phone
(207) 874-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2107 ME Primary

Addresses

Primary practice location

36 Workman Ter
Lincoln, ME 04457-1162

Mailing address

36 Workman Ter
Lincoln, ME 04457-1162
Phone (207) 794-6534

Other identifiers 1

IdentifierTypeStateIssuer
121730000MedicaidME

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

36 Workman Ter
Lincoln, ME 04457
Phone (207) 794-6025

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1710977236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WORKMAN TER",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044571162",
            "telephone_number": "207-794-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WORKMAN TER",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044571162",
            "telephone_number": "207-794-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "PELKEY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-874-2700"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "2107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121730000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.