Brock Seal Cove LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BROCK SEAL COVE LLC

Doing business as

Seal Cove Assisted Living

Practice address

19 General Moore Way
Ellsworth, ME 04605-1860

Phone

(207) 667-9336

NPI assigned

Dec 4, 2024

Last updated

Dec 4, 2024By 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

Kelly Wesbrock

Title

Chief Executive Officer

Phone

(207) 691-5059

Specialties & licenses 1

Addresses

Other names 1

• SEAL COVE ASSISTED LIVING Doing business as

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1841006053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GENERAL MOORE WAY",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051860",
            "telephone_number": "207-667-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GENERAL MOORE WAY",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051860",
            "telephone_number": "207-667-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK SEAL COVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "WESBROCK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "207-691-5059"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEAL COVE ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ja'Nette Lee Marie Bowden, FNP-C
• Jennifer M Brackett, PHARM D
• Sally Brann, CADC
• Roger L Brignull, OD
• Brock Health Inc
• Chelsea Brown
• Emily Greenwood Brown, WHNP
• Meaghan M Brown, D.C.,LIC. AC,DIP. AC
• Olivia Brown, MHRT CSP
• Tarra Bryant

• Assisted Living Facility in Ellsworth, ME
• Providers in Ellsworth, 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 Dec 4, 2024; 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.