The Lamp Alzheimer'S Residential Care Facility

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

ALLS1644 Issued in ME

Legal business name

THE LAMP ALZHEIMER'S RESIDENTIAL CARE FACILITY

Practice address

64 Lisbon St
Lisbon, ME 04250-6017

Phone

(207) 353-4318

Fax

(207) 353-8704

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lillian C Karkos

Title

Adminstrator

Phone

(207) 353-4318

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1962587790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 RIDGE RD",
            "city": "LISBON FALLS",
            "state": "ME",
            "postal_code": "042526122",
            "telephone_number": "207-353-4634",
            "fax_number": "207-353-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 LISBON ST",
            "city": "LISBON",
            "state": "ME",
            "postal_code": "042506017",
            "telephone_number": "207-353-4318",
            "fax_number": "207-353-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAMP ALZHEIMER'S RESIDENTIAL CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "KARKOS",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "207-353-4318",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "ME",
            "license": "ALLS1644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103180000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin William Richards, PHARM D
• Riverside Community Services
• Susan Lee Roman, LCPC
• St Samuel Mobility LLC
• Janet Stenberg
• Brenda M. Thompson, LCPC
• Town of Durham School Department
• Town of Lisbon
• Town of Lisbon School Department
• Triggiani & Bianchi PA

• All providers in Lisbon, ME
• Alzheimer Center (Dementia Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.