NPIMap

Organization Active NPI

Caribou Nursing Home, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Caribou, ME
National Provider Identifier
1962402990
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
37946 Issued in ME
Legal business name
CARIBOU NURSING HOME, INC.
Practice address
10 Bernadette St
Caribou, ME 04736-3908
Phone
(207) 498-3102
Fax
(207) 498-3461
NPI assigned
Aug 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Authorized official

Name
Mr. Philip A Cyr
Title
Administrator
Phone
(207) 498-3102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 37946 ME Primary
Skilled Nursing Facility 314000000X 37946 ME

Addresses

Primary practice location

10 Bernadette St
Caribou, ME 04736-3908

Mailing address

10 Bernadette St
Caribou, ME 04736-3908
Phone (207) 498-3102

Other identifiers 1

IdentifierTypeStateIssuer
105890000MedicaidME

Other names 1

  • Caribou Rehab and Nursing Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140212000189 ME Part A Provider - Skilled Nursing Facility 2567500127 Practice locations: Caribou, ME

Skilled nursing facility certification: CCN 205117

Legal name
CARIBOU NURSING HOME INC
Doing business as
CARIBOU REHAB AND NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1993
Last certification
Jun 26, 2024
Beds
72
Ownership / control type
Limited Liability Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 11, 1972 in ME
Enrollment address
10 Bernadette St
Caribou, ME 04736-2038
Nursing home name
CARIBOU REHAB AND NURSING CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Caribou Rehab and Nursing CenterCCN 205117
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7263.6 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

10 Bernadette St
Caribou, ME 04736
Phone (207) 498-3102

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Margaret Anne Daigle Individual 5% Or Greater Direct Ownership Interest Jan 1, 2009 7.56%
Bradley Cyr Supplemental Care Trust Organization, Caribou, ME Other Dec 31, 2008 0.89%
Janet Elizabeth Morrill Individual 5% Or Greater Direct Ownership Interest Jan 1, 2009 7.56%
Trust for Kyle Morrill Organization, Caribou, ME Other Sep 27, 2010 1.93%
Paul Armand Cyr Individual 5% Or Greater Direct Ownership Interest Jan 1, 2009 8.97%
Corporate OfficerVice President Dec 15, 2016 33.33%
Corporate Director Dec 15, 2016 33.33%
Michael Albert Cyr Individual 5% Or Greater Direct Ownership Interest Jan 1, 2009 7.56%
Philip Allen Cyr Individual 5% Or Greater Direct Ownership Interest Jan 1, 2009 7.56%
Corporate OfficerPresident Dec 15, 2016 33.33%
Corporate Director Jul 1, 1996 33.33%
W-2 Managing EmployeeAdministrator Jul 1, 1996 100%
Rose Marie Cyr Louten Individual 5% Or Greater Direct Ownership Interest Jan 1, 2009 7.56%
Corporate OfficerVice President Jan 1, 1990 33.33%
Corporate Director Jan 1, 1990 33.33%

Practitioners & affiliated clinicians

Practitioners 10

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

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1962402990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BERNADETTE ST",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363908",
            "telephone_number": "207-498-3102",
            "fax_number": "207-498-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BERNADETTE ST",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363908",
            "telephone_number": "207-498-3102",
            "fax_number": "207-498-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIBOU NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "CYR",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-498-3102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "ME",
            "license": "37946",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "37946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105890000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caribou Rehab and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caribou, ME

Sources for this page

Verify at the official NPI Registry.