Lewiston Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1956 Issued in ME

Legal business name

LEWISTON OPERATIONS, LLC

Practice address

33 Roger St
Lewiston, ME 04240-3328

Phone

(207) 784-0108

Fax

(207) 784-0752

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Michael Theodore Berg

Title

Assistant Secretary

Phone

(610) 444-6350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marshwood Center Doing business as

Tax ID family

Lewiston Operations LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lewiston Operations, LLC

  • Skilled Nursing Facility
  • Lewiston, ME
  • NPI 1700948122
  NPD tax ID

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1871656983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ROGER ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042403328",
            "telephone_number": "207-784-0108",
            "fax_number": "207-784-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISTON OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "610-444-6350"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "1956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432468901",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshwood Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paige Elizabeth Lewicki, DNP, APRN, CPNP-PC
• David S Lewis, M.D.
• Lewiston Auburn Dental Associates
• Lewiston Home Care LLC
• Lewiston Operations, LLC
• Lewiston Primary Care Clinic
• Lewiston Public Schools
• Lewiston School Department
• Lewiston School Department
• Lewiston-Auburn Pathology

• Assisted Living Facility in Lewiston, ME
• Providers in Lewiston, 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 Jan 31, 2024; 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.