St Josephs Rehabilitation & Residence

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

1908 Issued in ME

Legal business name

ST JOSEPHS REHABILITATION & RESIDENCE

Practice address

1133 Washington Ave
Portland, ME 04103-3629

Phone

(207) 797-0600

Fax

(207) 797-4168

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Peggy Farrington

Title

Executive Director

Phone

(207) 797-0600

Specialties & licenses 2

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Mainehealth

  • Pediatrics Physician
  • Falmouth, ME
  • NPI 1629382601

  Member Of

  NPD member

Practitioners 1

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

• Richard T Marino Jr., M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Portland, ME
  • NPI 1285665828
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1790776110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033629",
            "telephone_number": "207-797-0600",
            "fax_number": "207-797-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 WASHINGTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033629",
            "telephone_number": "207-797-0600",
            "fax_number": "207-797-4168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS REHABILITATION & RESIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "FARRINGTON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-797-0600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "1908",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "ME",
            "license": "1908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107380000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107380001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth St Clair
• Renee M St Germain, PHARMD
• Victoria Lillios St Hilaire, APRN-CNP
• Kelley St John, RN
• St Josephs Rehabilitation & Residence
• Cheryll St Onge, CRNA
• Teresa Marie St Peter, LCPC-C
• Jean St Pierre, CRNA
• Storme St Valle, APRN-CNP
• Madison Paige St. Clair, DO

• Nursing Facility/Intermediate Care Facility in Portland, ME
• Providers in Portland, ME by specialty
• Nursing Facility/Intermediate Care Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.