Coastal Manor Corporation

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

36175 Issued in ME

Legal business name

COASTAL MANOR CORPORATION

Doing business as

Coastal Manor Nursing Home

Practice address

20 W Main St
Yarmouth, ME 04096-8412

Phone

(207) 846-5013

Fax

(207) 846-2252

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Orey F Gadway

Title

Administrator

Phone

(207) 846-5013

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Coastal Manor Nursing Home Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Skilled nursing facility certification: CCN 205157

Legal name

COASTAL MANOR CORPORATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 1, 1994

Last certification

Aug 14, 2024

Beds

39

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 31, 1984 in ME

Enrollment address

20W Main St
Yarmouth, ME 04096-6709

Nursing home name

COASTAL MANOR

Listed as

Coastal ManorCCN 205157 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Mar 1, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

3933.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Anthony Pastore, DO

  • Family Medicine Physician
  • Lewiston, ME
  • NPI 1124684360

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

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

• Jamie Collard

  • Internal Medicine Physician
  • Biddeford, ME
  • NPI 1497132674
  NPD (past)
• Desiree Mae Leary, DO

  • Family Medicine Physician
  • Falmouth, ME
  • NPI 1598407868
  NPD (past)
• Anthony Pastore, DO

  • Family Medicine Physician
  • Lewiston, ME
  • NPI 1124684360
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jamie Collard

  • Internal Medicine Physician
  • Biddeford, ME
  • NPI 1497132674

  Nursing home

  Care Compare affiliation
• Desiree Mae Leary, DO

  • Family Medicine Physician
  • Falmouth, ME
  • NPI 1598407868

  Nursing home

  Care Compare affiliation
• Anthony Pastore, DO

  • Family Medicine Physician
  • Lewiston, ME
  • NPI 1124684360

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1811990757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040968412",
            "telephone_number": "207-846-5013",
            "fax_number": "207-846-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W MAIN ST",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040968412",
            "telephone_number": "207-846-5013",
            "fax_number": "207-846-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MANOR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "GADWAY",
        "authorized_official_first_name": "OREY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-846-5013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "ME",
            "license": "36175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "141P10285",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "205157",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "040823",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115010000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Manor Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Facility/Intermediate Care Facility in Yarmouth, ME
• Providers in Yarmouth, 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 Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.