NPIMap

Organization Active NPI

Elr Care Maine LLC

  • Assisted Living Facility
  • Westbrook, ME
National Provider Identifier
1841433976
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALLS3459 Issued in ME
Legal business name
ELR CARE MAINE LLC
Doing business as
Rocky Hill Manor
Practice address
511 Bridge St
Westbrook, ME 04092-3105
Phone
(207) 854-2973
Fax
(207) 854-5833
NPI assigned
Apr 20, 2009
Organization subpart
Yes
Parent organization
ELR CARE MAINE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Mr. Michael Tyler
Title
Receiver
Phone
(207) 854-2973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALLS3459 ME Primary

Addresses

Primary practice location

511 Bridge St
Westbrook, ME 04092-3105

Mailing address

511 Bridge St
Westbrook, ME 04092-3105
Phone (207) 854-2973

Other identifiers 1

IdentifierTypeStateIssuer
405380000MedicaidME

Other names 1

  • Rocky Hill Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elrcare Maine LLC5 organizations share this tax ID, including this one
Part of
Elrcare Maine LLC

Other organizations with this tax ID 4

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": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1841433976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BRIDGE ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923105",
            "telephone_number": "207-854-2973",
            "fax_number": "207-854-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BRIDGE ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923105",
            "telephone_number": "207-854-2973",
            "fax_number": "207-854-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELR CARE MAINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELR CARE MAINE LLC",
        "enumeration_date": "2009-04-20",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "RECEIVER",
        "authorized_official_telephone_number": "207-854-2973",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS3459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405380000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Hill Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.