D & E Johnston Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALLS 2291 Issued in ME

Legal business name

D & E JOHNSTON INC

Doing business as

Gables Manor

Practice address

2545 Riverside Dr
Vassalboro, ME 04989-3204

Phone

(207) 873-3888

NPI assigned

May 31, 2007

Last updated

Nov 13, 2009By 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. Dyer B. Johnston

Title

President

Phone

(207) 873-4688

Specialties & licenses 1

Addresses

Other names 1

• Gables Manor Doing business as

Locations

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1801097134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8133",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049018133",
            "telephone_number": "207-873-4688",
            "fax_number": "207-873-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 RIVERSIDE DR",
            "city": "VASSALBORO",
            "state": "ME",
            "postal_code": "049893204",
            "telephone_number": "207-873-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D & E JOHNSTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "DYER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-873-4688",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS 2291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gables Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Bucklin, CADC
• John E Burke, M.D.
• Kelsey Bushover
• Valerie D Cole
• Laurie Jo Collins, COTA/L
• Rebecca Edith Dube, PTA
• Nancy Epifano, M.D.
• Kimberly B Glidden
• Tiffany Laura Jacobs-Millett, RD,LD,CLC
• James Leland Jacobs, PH.D.

• Assisted Living Facility in Vassalboro, ME
• Providers in Vassalboro, 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 Nov 13, 2009; 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.