Woodlands Senior Living of Hallowell, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALLS2169 Issued in ME

Legal business name

WOODLANDS SENIOR LIVING OF HALLOWELL, LLC

Doing business as

Woodlands Assisted Living of Hallowell

Practice address

152 Winthrop St
Hallowell, ME 04347-3026

Phone

(207) 623-3396

Fax

(207) 623-2959

NPI assigned

Mar 7, 2006

Organization subpart

No

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

Authorized official

Name

Jill A Sirois, RN

Title

Professional Services Consultant

Phone

(207) 872-8992

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodlands Assisted Living of Hallowell Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Woodlands Assisted Living of Hallowell2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Woodlands Senior Living of Hallowell, LLC

  • Assisted Living Facility
  • Hallowell, ME
  • NPI 1821066655
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Renee Folk, NP

  • Family Nurse Practitioner
  • Augusta, ME
  • NPI 1013343342
  NPD (past)
• Carlen Smith

  • Geriatric Medicine (Family Medicine) Physician
  • Augusta, ME
  • NPI 1295199453
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1790752921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W RIVER RD",
            "address_2": "SUITE 400",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015098",
            "telephone_number": "207-872-8992",
            "fax_number": "207-861-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 WINTHROP ST",
            "city": "HALLOWELL",
            "state": "ME",
            "postal_code": "043473026",
            "telephone_number": "207-623-3396",
            "fax_number": "207-623-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS SENIOR LIVING OF HALLOWELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "SIROIS",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROFESSIONAL SERVICES CONSULTANT",
        "authorized_official_telephone_number": "207-872-8992",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS2169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790752921",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlands Assisted Living of Hallowell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brett Vancott, L.AC.
• Richard W Walsh, LCSW
• Brenda Wentworth, LCSW
• James E White, LCPC
• Sarah Stendig Wood, L.AC.
• Woodlands Senior Living of Hallowell, LLC

• Assisted Living Facility in Hallowell, ME
• Providers in Hallowell, 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 Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.