NPIMap

Organization Active NPI

North Country Associates, Inc

Doing business as Klearview Manor

  • Intellectual Disabilities Intermediate Care Facility
  • Fairfield, ME
National Provider Identifier
1821158981
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
36468 Issued in ME
Legal business name
NORTH COUNTRY ASSOCIATES, INC
Doing business as
Klearview Manor
Practice address
149 Route 201
Fairfield, ME 04937-3372
Phone
(207) 453-2112
Fax
(207) 453-2004
NPI assigned
Dec 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Glen G Cyr
Title
VP of Finance
Phone
(207) 786-3554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 36468 ME Primary

Addresses

Primary practice location

149 Route 201
Fairfield, ME 04937-3372

Mailing address

179 Lisbon St
2ND Floor
Lewiston, ME 04240-7248
Phone (207) 786-3554

Other names 1

  • Klearview Manor Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821158981. Details of each certification follow.

  • CCN 20G002 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 20G002

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Klearview Manor
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
May 1, 1977
Last certification
Feb 5, 2025
Beds
16
Ownership / control type
Private (proprietary)
Facility address
149 Route 201
Fairfield, ME 04937

National Provider Directory

National Provider Directory
Tax ID family
North Country Associates Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821158981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 LISBON ST",
            "address_2": "2ND FLOOR",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407248",
            "telephone_number": "207-786-3554",
            "fax_number": "207-786-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 ROUTE 201",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049373372",
            "telephone_number": "207-453-2112",
            "fax_number": "207-453-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTRY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CYR",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "207-786-3554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "ME",
            "license": "36468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klearview Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, ME

Sources for this page

Verify at the official NPI Registry.