Ledgeview Nursing Home Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

1966 Issued in ME

Legal business name

LEDGEVIEW NURSING HOME INC

Doing business as

Ledgeview Living Center

Practice address

141 Bethel Rd
West Paris, ME 04289-5227

Phone

(207) 674-2250

Fax

(207) 674-3101

NPI assigned

Sep 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Roger Newell Wilday

Title

Business Manager

Phone

(207) 674-2250

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Ledgeview Living Center Doing business as

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1902892771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 BETHEL RD",
            "city": "WEST PARIS",
            "state": "ME",
            "postal_code": "042895227",
            "telephone_number": "207-674-2250",
            "fax_number": "207-674-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 BETHEL RD",
            "city": "WEST PARIS",
            "state": "ME",
            "postal_code": "042895227",
            "telephone_number": "207-674-2250",
            "fax_number": "207-674-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEDGEVIEW NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "WILDAY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "NEWELL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "207-674-2250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "1966",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "ME",
            "license": "1966",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "1966",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "ME",
            "license": "1966",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119390001",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119390000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ledgeview Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Rae Graham, R.D.H.
• Lindsey Hopkins, CCC-SLP
• Park Street Home West Paris
• Peter D. Robertson LCSW
• Tritown Ambulance & Emergency Rescue Service
• David Lester Walton, L..C.P.C.

• Nursing Facility/Intermediate Care Facility in West Paris, ME
• Providers in West Paris, ME by specialty
• Nursing Facility/Intermediate Care Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; 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.