68 Devonshire Street Corp.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALLS 1625 Issued in ME

Legal business name

68 DEVONSHIRE STREET CORP.

Doing business as

Portland Center for Assisted Living

Practice address

68 Devonshire St
Portland, ME 04103-4431

Phone

(207) 772-2893

NPI assigned

Nov 7, 2005

Organization subpart

No

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

Authorized official

Name

Kenneth Bowden

Title

Ceo

Phone

(207) 874-2700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Portland Center for Assisted Living Doing business as

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1902887060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 DEVONSHIRE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034431",
            "telephone_number": "207-772-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 DEVONSHIRE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034431",
            "telephone_number": "207-772-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "68 DEVONSHIRE STREET CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2009-05-19",
        "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"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS 1625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131950000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Center for Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Portland, ME
• Providers in Portland, 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 19, 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.