The Casco Inn Residential Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALLS3485 Issued in ME

Legal business name

THE CASCO INN RESIDENTIAL CARE

Practice address

434 Roosevelt Trail
Casco, ME 04015

Phone

(207) 627-7199

Fax

(207) 627-6054

NPI assigned

May 29, 2009

Last updated

May 29, 2009By 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

Mrs. Dorothy A. Turner, R.N. - B.S.P.A.

Title

Administrator

Phone

(207) 627-7199

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1861628208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 ROOSEVELT TRAIL",
            "city": "CASCO",
            "state": "ME",
            "postal_code": "04015",
            "telephone_number": "207-627-7199",
            "fax_number": "207-627-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 ROOSEVELT TRAIL",
            "city": "CASCO",
            "state": "ME",
            "postal_code": "04015",
            "telephone_number": "207-627-7199",
            "fax_number": "207-627-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CASCO INN RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-627-7199",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N. - B.S.P.A."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS3485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1163400",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifford E Pierce
• Karen Elizabeth Rendall
• Joanne Elizabeth Ridlon
• Carlene B Ross
• Lori Ann Shaw, L.M.T.
• Alexander Thorn, LCPC, NCC
• Linda Thorn, LCPC
• Town of Casco (Casco Rescue)
• Village Homecare LLC
• Yellow Dog Enterprises, Inc. (First Light Home Care)

• Assisted Living Facility in Casco, ME
• Providers in Casco, 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 May 29, 2009; 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.