Organization Active NPI

Renee & Corinna, Inc.

  • Assisted Living Facility
  • Ellsworth, ME
National Provider Identifier
1942534136
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
RENEE & CORINNA, INC.
Practice address
1185 Mariaville Rd
Ellsworth, ME 04605-3514
Phone
(207) 460-9303
NPI assigned
Sep 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Mrs. Irene Moleon
Title
Owner
Phone
(207) 460-9303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1185 Mariaville Rd
Ellsworth, ME 04605-3514

Mailing address

1185 Mariaville Rd
Ellsworth, ME 04605-3514
Phone (207) 460-9303

Other identifiers 2

IdentifierTypeStateIssuer
133880000MedicaidME
133880002MedicaidME

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1942534136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 MARIAVILLE RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053514",
            "telephone_number": "207-460-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 MARIAVILLE RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046053514",
            "telephone_number": "207-460-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE & CORINNA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "MOLEON",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-460-9303",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133880000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133880002",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.