Organization Active NPI

Vinalhaven Eldercare Services

  • Assisted Living Facility
  • Vinalhaven, ME
National Provider Identifier
1730310475
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALLS 3429 Issued in ME
Legal business name
VINALHAVEN ELDERCARE SERVICES
Practice address
18 Beaver Dam Rd
Vinalhaven, ME 04863-3915
Phone
(207) 863-9980
Fax
(207) 863-9986
NPI assigned
Jul 29, 2009
Last updated
Jul 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Linda J Lynch
Title
Administrator
Phone
(207) 863-9980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALLS 3429 ME Primary

Addresses

Primary practice location

18 Beaver Dam Rd
Vinalhaven, ME 04863-3915

Mailing address

PO Box 624
Vinalhaven, ME 04863-0624
Phone (207) 863-9980

Other identifiers 1

IdentifierTypeStateIssuer
431895700MedicaidME

Other names 1

  • Ivan Calderwood Homestead Other name

National Provider Directory

National Provider Directory

Locations

18 Beaver Dam Rd
Vinalhaven, ME 04863
Phone (207) 863-9980

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1730310475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 624",
            "city": "VINALHAVEN",
            "state": "ME",
            "postal_code": "048630624",
            "telephone_number": "207-863-9980",
            "fax_number": "207-863-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 BEAVER DAM RD",
            "city": "VINALHAVEN",
            "state": "ME",
            "postal_code": "048633915",
            "telephone_number": "207-863-9980",
            "fax_number": "207-863-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINALHAVEN ELDERCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-863-9980"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS 3429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431895700",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivan Calderwood Homestead",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vinalhaven, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.