NPIMap

Organization Active NPI

Mainegeneral Rehabilitation and Long Term Care

  • Assisted Living Facility
  • Augusta, ME
National Provider Identifier
1912044363
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2013 Issued in ME
Legal business name
MAINEGENERAL REHABILITATION AND LONG TERM CARE
Practice address
37 Gray Birch Dr
Augusta, ME 04330-6105
Phone
(207) 621-7100
Fax
(207) 621-7101
NPI assigned
Feb 1, 2007
Last updated
May 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Gillian Fitzgerald-Crosby
Title
Director of Revenue Cycle
Phone
(207) 621-7116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2013 ME Primary

Addresses

Primary practice location

37 Gray Birch Dr
Augusta, ME 04330-6105

Mailing address

37 Gray Birch Dr
Augusta, ME 04330-6105
Phone (207) 621-7100

Other identifiers 1

IdentifierTypeStateIssuer
1169MedicaidME

Other names 1

  • MaineGeneral Rehabilitation and Nursing Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Alzheimer's Care Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1912044363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 GRAY BIRCH DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306105",
            "telephone_number": "207-621-7100",
            "fax_number": "207-621-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 GRAY BIRCH DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306105",
            "telephone_number": "207-621-7100",
            "fax_number": "207-621-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEGENERAL REHABILITATION AND LONG TERM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD-CROSBY",
        "authorized_official_first_name": "GILLIAN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "207-621-7116"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "2013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1169",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MaineGeneral Rehabilitation and Nursing Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.