Brock Camden LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BROCK CAMDEN LLC

Practice address

51 Mechanic St
Camden, ME 04843-1845

Phone

(207) 236-3600

NPI assigned

Dec 2, 2024

Organization subpart

No

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

Authorized official

Name

Kelly Wesbrock

Title

Chief Executive Officer

Phone

(207) 691-5059

Specialties & licenses 1

Addresses

Other names 1

• BELLA POINT CAMDEN ASSISTED LIVING Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura J Head, PAC

  • Physician Assistant
  • Bangor, ME
  • NPI 1417297110
  NPD (past)
• Akindele Majekodunmi, M.D., M.B.A

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1447411764
  NPD (past)

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1962228247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 MECHANIC ST",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431845",
            "telephone_number": "207-236-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MECHANIC ST",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431845",
            "telephone_number": "207-236-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCK CAMDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "WESBROCK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "207-691-5059"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLA POINT CAMDEN ASSISTED LIVING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Harbor Medical
• Elizabeth A. Boetsch, PHD
• Elizabeth J Boogusch, M.D.
• Jenna Borchanian
• Borden Cottage Treatment Facility, LLC
• Brock Health Inc
• Derek Brotherton, PTA
• Jonathan Philip Burns, D.C.
• Camden Area District Nursing Association
• Camden Behavioral Health, LLC

• All providers in Camden, ME
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.