Mason Douglas Jipson

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MASON DOUGLAS JIPSON

Doing business as

Bold Coast Home Care Agency

Practice address

19 Evergreen LN
Milbridge, ME 04658-3624

Phone

(207) 598-0439

NPI assigned

Nov 29, 2023

Last updated

Nov 29, 2023By 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

Mason Douglas JipsonNPI 1316713803

Title

Owner

Phone

(207) 598-0439

Specialties & licenses 1

Addresses

Other names 1

• BOLD COAST HOME CARE AGENCY Doing business as

Practitioners 1

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.

• Mason Douglas Jipson

  • In Home Supportive Care Agency
  • Milbridge, ME
  • NPI 1316713803
  NPD Authorized official

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1861268989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 EVERGREEN LN",
            "city": "MILBRIDGE",
            "state": "ME",
            "postal_code": "046583624",
            "telephone_number": "207-598-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 EVERGREEN LN",
            "city": "MILBRIDGE",
            "state": "ME",
            "postal_code": "046583624",
            "telephone_number": "207-598-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON DOUGLAS JIPSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "JIPSON",
        "authorized_official_first_name": "MASON",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-598-0439"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOLD COAST HOME CARE AGENCY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mason Douglas Jipson
• Courtney Jordan, SLPA
• Mary Christine Kuhni, FNP
• Erin Alicia Leighton, OTR/L
• Cathleen Greenberg London, M.D.
• Milbridge Pharmacy Inc (Milbridge Pharmacy)
• Milestones in Motion Physical Therapy, LLC
• Jessica Lynn Moraisey, LCPC, CADC
• Mary Mulvey
• Narraguagus Bay Health Care

• In Home Supportive Care Agency in Milbridge, ME
• Providers in Milbridge, ME by specialty
• In Home Supportive Care Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.