NPIMap

Organization Active NPI

Windham Residential Care Facility

  • Assisted Living Facility
  • Windham, ME
National Provider Identifier
1871579474
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WINDHAM RESIDENTIAL CARE FACILITY
Practice address
495 River Rd
Windham, ME 04062-4603
Phone
(207) 892-7141
Fax
(207) 892-6131
NPI assigned
Dec 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Mrs. Carol Anne Rogers
Title
Administrator/Owner
Phone
(207) 892-7141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

495 River Rd
Windham, ME 04062-4603

Mailing address

495 River Rd
Windham, ME 04062-4603
Phone (207) 892-7141

National Provider Directory

National Provider Directory
Tax ID family
Carols Residential Care Facility3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1871579474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 RIVER RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624603",
            "telephone_number": "207-892-7141",
            "fax_number": "207-892-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 RIVER RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624603",
            "telephone_number": "207-892-7141",
            "fax_number": "207-892-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM RESIDENTIAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "207-892-7141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.