Elr Care Maine LLC
Organization Active NPI Assisted Living Facility · Penobscot, ME
NPI 1760626246 · NPPES record last updated Aug 3, 2010
Key facts
- NPI
- 1760626246
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 2335 (ME)
- Legal business name
- ELR CARE MAINE LLC
- Practice address
- 12 North Penobscot Road
Penobscot, ME 04476 - Phone
- (207) 326-4344
- Fax
- (207) 326-9615
- NPI assigned
- Apr 28, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- ELR CARE MAINE LLC
Authorized official
- Name
- Mr. Michael Tyler
- Title
- Receiver
- Phone
- (207) 854-2973
Practitioners 2
-
Kristin M Burch, M.A. CF-SLP
National Provider Directory
- Part of
- Elrcare Maine LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 2335 | ME | Yes |
Addresses
Primary practice location
12 North Penobscot Road
Penobscot, ME 04476
Mailing address
12 North Penobscot Road
Penobscot, ME 04476
Phone (207) 326-4344
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405380005 | Medicaid | ME |
Other names
- Northern Bay Residential Care
Other providers in Penobscot, ME
- Kristin M Burch
- Linda Joy Elliott
- Elrcare Maine LLC
- Elrcare Maine, LLC
- Catherine A. Morse
- Holly Arends Murphy
- Penobscot Elementary School
All providers in Penobscot, ME · Assisted Living Facility in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.