Island Nursing Home, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1903 Issued in ME

Legal business name

ISLAND NURSING HOME, INC

Practice address

587 N Deer Isle Rd
Deer Isle, ME 04627-3438

Phone

(207) 348-2351

NPI assigned

Oct 18, 2005

Last updated

Jan 18, 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

Deborah Adkins

Title

Financial Controller

Phone

(207) 348-2351

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1861481384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 N DEER ISLE RD",
            "city": "DEER ISLE",
            "state": "ME",
            "postal_code": "046273438",
            "telephone_number": "207-348-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 N DEER ISLE RD",
            "city": "DEER ISLE",
            "state": "ME",
            "postal_code": "046273438",
            "telephone_number": "207-348-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "207-348-2351"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "ME",
            "license": "1903",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "1903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175870100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamryn Foss
• Colleen Comer Hansen, BSN RN
• Joseph Adam Hermans
• Erin Hutchins, MSPT
• Lori Marie Ingram, COTAL
• Caitlin Johnston, PTA
• Laurie Lynn Marcel, COTA/L
• Memorial Ambulance Corps. Isle Au Haut - Stonington - Deer Isle (Memorial Ambulance Corps.)
• Hollan S Oliver, DPT
• Alison Allen Richards, PTA

• Skilled Nursing Facility in Deer Isle, ME
• Providers in Deer Isle, ME by specialty
• Skilled Nursing Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.