NPIMap

Organization Active NPI

Lincolnhealth Coves Edge

Doing business as Riverside at Chase Point

  • Alzheimer Center (Dementia Center)
  • Damariscotta, ME
National Provider Identifier
1881780054
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
2037 Issued in ME
Legal business name
LINCOLNHEALTH COVES EDGE
Doing business as
Riverside at Chase Point
Practice address
51 Schooner Street
Damariscotta, ME 04543
Phone
(207) 563-4629
Fax
(207) 563-4674
NPI assigned
Oct 5, 2006
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
LINCOLNHEALTH COVES EDGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Wayne R Printy
Title
Cfo
Phone
(207) 633-8413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 2037 ME Primary

Addresses

Primary practice location

51 Schooner Street
Damariscotta, ME 04543

Mailing address

26 Schooner Street
Damariscotta, ME 04543
Phone (207) 563-4629

Other identifiers 2

IdentifierTypeStateIssuer
1881780054MedicaidME
112930101MedicaidME

Other names 2

  • Riverside at Chase Point Doing business as
  • Cove's Edge, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Lincolnhealth Coves Edge5 organizations share this tax ID, including this one
Part of
Lincolnhealth Coves Edge

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1881780054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SCHOONER STREET",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "04543",
            "telephone_number": "207-563-4629",
            "fax_number": "207-563-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SCHOONER STREET",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "04543",
            "telephone_number": "207-563-4629",
            "fax_number": "207-563-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLNHEALTH COVES EDGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINCOLNHEALTH COVES EDGE",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PRINTY",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-633-8413"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "ME",
            "license": "2037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881780054",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112930101",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside at Chase Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Riverside at Chase Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cove's Edge, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Damariscotta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.