Schooner Retirement Community, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

SCHOONER RETIREMENT COMMUNITY, INC

Doing business as

Schooner Estates Seville Park Plaza

Practice address

200 Stetson Rd
Auburn, ME 04210-6458

Phone

(207) 784-2900

Fax

(207) 784-2900

NPI assigned

Oct 17, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian C French

Title

Controller

Phone

(207) 784-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Schooner Estates Seville Park Plaza Doing business as

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982693537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STETSON RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106458",
            "telephone_number": "207-784-2900",
            "fax_number": "207-784-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STETSON RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106458",
            "telephone_number": "207-784-2900",
            "fax_number": "207-784-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOONER RETIREMENT COMMUNITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRENCH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "207-784-2900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11676000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schooner Estates Seville Park Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randolph B Sawyer, OD
• Alyssa Rose Schaff
• Geraldine A Schneider, D.M.D.
• Robert W Schneider, MD
• Schooner Memory Care Operations, LLC
• Bayley Schroeder
• Kelly Schussler, LMSW-CC
• Jordan Thomas Scott
• Select Physical Therapy
• Select Physical Therapy Holdings Inc (Saco Bay Orthopaedic & Sports Physical Therapy)

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Auburn, ME
• Providers in Auburn, ME by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.