Southern Acres Residential Care Facility Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALLS2420 Issued in ME

Legal business name

SOUTHERN ACRES RESIDENTIAL CARE FACILITY INC.

Practice address

203 Tweedie Rd
Westfield, ME 04787-3216

Phone

(207) 429-9231

Fax

(207) 429-9611

NPI assigned

Apr 29, 2009

Last updated

Apr 29, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Charlene Rose Allen

Title

Administrator

Phone

(207) 429-9231

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1730323148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 TWEEDIE RD",
            "city": "WESTFIELD",
            "state": "ME",
            "postal_code": "047873216",
            "telephone_number": "207-429-9231",
            "fax_number": "207-429-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 TWEEDIE RD",
            "city": "WESTFIELD",
            "state": "ME",
            "postal_code": "047873216",
            "telephone_number": "207-429-9231",
            "fax_number": "207-429-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ACRES RESIDENTIAL CARE FACILITY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-429-9231",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS2420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "123580000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Lynne Cronkite, RN
• Danielle Soucy

• Assisted Living Facility in Westfield, ME
• Providers in Westfield, ME by specialty
• Assisted Living Facility in Maine

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