NPIMap

Organization Active NPI

Western Maine Nursing Home Inc

Doing business as Market Square Health Care Corp.

  • Skilled Nursing Facility
  • South Paris, ME
National Provider Identifier
1790820223
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2084 Issued in ME
Legal business name
WESTERN MAINE NURSING HOME INC
Doing business as
Market Square Health Care Corp.
Practice address
3 Market SQ
South Paris, ME 04281-1114
Phone
(207) 743-7086
Fax
(207) 539-6002
NPI assigned
Feb 21, 2007
Last updated
Oct 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Mrs. Diana J McLaughlin
Title
Controller
Phone
(207) 744-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2084 ME Primary

Addresses

Primary practice location

3 Market SQ
South Paris, ME 04281-1114

Mailing address

3 Market SQ
South Paris, ME 04281-1114
Phone (207) 743-7086

Other identifiers 2

IdentifierTypeStateIssuer
165280001MedicaidME
165280000MedicaidME

Other names 1

  • Market Square Health Care Corp. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Market Square Health Care Center LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1790820223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARKET SQ",
            "city": "SOUTH PARIS",
            "state": "ME",
            "postal_code": "042811114",
            "telephone_number": "207-743-7086",
            "fax_number": "207-743-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MARKET SQ",
            "city": "SOUTH PARIS",
            "state": "ME",
            "postal_code": "042811114",
            "telephone_number": "207-743-7086",
            "fax_number": "207-539-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MAINE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "207-744-6006",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "2084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165280001",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165280000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Market Square Health Care Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Paris, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.