NPIMap

Organization Active NPI

Marshall Healthcare

  • Skilled Nursing Facility
  • Machias, ME
National Provider Identifier
1881993467
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2503 Issued in ME
Legal business name
MARSHALL HEALTHCARE
Practice address
16 Beal St
Machias, ME 04654-1003
Phone
(207) 255-3387
NPI assigned
Mar 22, 2011
Last updated
Apr 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Mr. Kenneth Bowden
Title
Ceo
Phone
(207) 874-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2503 ME Primary

Addresses

Primary practice location

16 Beal St
Machias, ME 04654-1003

Mailing address

16 Beal St
Machias, ME 04654-1003
Phone (207) 255-3387

Other identifiers 1

IdentifierTypeStateIssuer
2503MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110513000185 ME Part A Provider - Skilled Nursing Facility 8325224009 Practice locations: Machias, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881993467. Details of each certification follow.

Skilled nursing facility certification: CCN 205109

Legal name
MARSHALL HEALTHCARE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1993
Last certification
Jun 12, 2024
Beds
64
Ownership / control type
Corporation
Multi-facility organization
First Atlantic Healthcare
Organization structure
LLCProprietary
Enrollment address
16 Beal Street
Machias, ME 04654-1002
Nursing home name
MARSHALL HEALTH CARE AND REHAB
Affiliated entity
FIRST ATLANTIC HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Marshall Health Care And RehabCCN 205109 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jan 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6459.3 residents per day on average
Chain
First Atlantic Healthcare10 facilities in the chain
Penalties (3 years)
1Fines totaling $10,358

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Marshall Healthcare2 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.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Siana Schoppee Individual Operational/Managerial Control Jul 1, 2023
Adp of the SNF Jul 1, 2023
Craig G Coffin Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2019 66.67%
Trustee of the SNF Oct 1, 2024
Adp of the SNF Jun 30, 2019
Raymond J Howard Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Kenneth W Bowden Individual 5% Or Greater Indirect Ownership Interest Jun 30, 2019 33.33%
Adp of the SNF Jun 30, 2019
Faraday Holdings, LLC Organization, South Portland, ME LLC 5% Or Greater Direct Ownership Interest Jun 30, 2019 66.67%
Adp of the SNF Jun 30, 2019
First Atlantic Healthcare Inc Organization, South Portland, ME Corporation, Chain home office Operational/Managerial Control Jun 30, 2019 100%
Adp of the SNF Feb 23, 2025
Andrea Otis-Higgins Individual Operational/Managerial Control May 11, 2015
Adp of the SNF May 11, 2015
KWB Holdings, LLC Organization, South Portland, ME LLC 5% Or Greater Direct Ownership Interest Jun 30, 2019 33.33%
Adp of the SNF Jun 30, 2019
Wanda Pelkey Individual Corporate OfficerCeo Oct 1, 2024 100%
Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1881993467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BEAL ST",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046541003",
            "telephone_number": "207-255-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BEAL ST",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046541003",
            "telephone_number": "207-255-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-874-2700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "2503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2503",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Machias, ME

Sources for this page

Verify at the official NPI Registry.