Tall Pines Healthcare, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2598 Issued in ME

Legal business name

TALL PINES HEALTHCARE, INC

Practice address

34 Martin LN
Belfast, ME 04915-6080

Phone

(207) 338-4117

Fax

(207) 338-1058

NPI assigned

Apr 26, 2012

Last updated

Nov 4, 2013By 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

Mr. Glen G Cyr

Title

VP Finance

Phone

(207) 786-3554

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1770841819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 LISBON ST",
            "address_2": "2ND FLOOR",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407248",
            "telephone_number": "207-786-3554",
            "fax_number": "207-786-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MARTIN LN",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156080",
            "telephone_number": "207-338-4117",
            "fax_number": "207-338-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALL PINES HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "CYR",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "207-786-3554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "2598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2598",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ann R Thomson, MA ED

• Skilled Nursing Facility in Belfast, ME
• Providers in Belfast, ME by specialty
• Skilled Nursing Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.