Organization Active NPI

Southern Harbor Eldercare Services

  • Adult Care Home Facility
  • North Haven, ME
National Provider Identifier
1750873592
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SOUTHERN HARBOR ELDERCARE SERVICES
Practice address
12 Pulpit Harbor Road
North Haven, ME 04853
Phone
(207) 867-2345
Fax
(207) 863-5027
NPI assigned
Jun 6, 2018
Last updated
Jun 6, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN HARBOR ELDERCARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Mrs. Kathi Lovell
Title
President
Phone
(207) 867-4633

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ME
Adult Care Home Facility 311ZA0620X ME Primary

Addresses

Primary practice location

12 Pulpit Harbor Road
North Haven, ME 04853

Mailing address

PO Box 220
North Haven, ME 04853
Phone (207) 867-2345

National Provider Directory

National Provider Directory
Part of
Southern Harbor Eldercare Services

Locations

12 Pulpit Harbor Rd
North Haven, ME 04853
Phone (207) 867-2345

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1750873592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "NORTH HAVEN",
            "state": "ME",
            "postal_code": "04853",
            "telephone_number": "207-867-2345",
            "fax_number": "207-863-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PULPIT HARBOR ROAD",
            "city": "NORTH HAVEN",
            "state": "ME",
            "postal_code": "04853",
            "telephone_number": "207-867-2345",
            "fax_number": "207-863-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HARBOR ELDERCARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN HARBOR ELDERCARE SERVICES",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "LOVELL",
        "authorized_official_first_name": "KATHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-867-4633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.