Active NPI
Presque Isle Healthcare Center LLC
- Skilled Nursing Facility
- Presque Isle, ME
National Provider Identifier
1922993963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PRESQUE ISLE HEALTHCARE CENTER LLC
- Practice address
- 162 Academy St
Presque Isle, ME 04769-3180 - Phone
- (207) 619-7942
- NPI assigned
- Jun 10, 2025
- Last updated
- Jun 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda J Pelkey
- Title
- Ceo
- Phone
- (207) 939-1117
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
162 Academy St
Presque Isle, ME 04769-3180
Mailing address
100 Waterman Dr Ste 401
South Portland, ME 04106-2880
Phone (207) 619-7942
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2191852 | Presque Isle Healthcare Center | Certificate of waiver | Sep 1, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
162 Academy St
Presque Isle, ME 04769
Phone (207) 764-0145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749513600000",
"number": "1922993963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WATERMAN DR STE 401",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062880",
"telephone_number": "207-619-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 ACADEMY ST",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "047693180",
"telephone_number": "207-619-7942"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESQUE ISLE HEALTHCARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-10",
"last_updated": "2025-06-10",
"certification_date": "2025-05-19",
"status": "A",
"authorized_official_last_name": "PELKEY",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "207-939-1117"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Presque Isle, ME
- Sue Porter, PAC
- Michael John Potter, AD7716 ADCA
- Jacquelyn Poulin, LCPC, ATR
- Haley Ann Powers, MS, OTR/L
- Yvette Pratt, CP
- Presque Isle Pharmacy Co., LLC (Presque Isle Pharmacy)
- Presque Isle Pharmacy Co., LLC (Presque Isle Pharmacy)
- Tiffany Renee Jamerson Pressley, DNP, APRN, PMHNP-BC
- Frances Prest, MHRT-CSP
- Sheelagh Prosser, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.