Crosswinds Residential Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALLS 2707 Issued in ME

Legal business name

CROSSWINDS RESIDENTIAL CARE INC

Practice address

40 Village Rd
Fort Kent, ME 04743-1031

Phone

(207) 834-3701

NPI assigned

Mar 28, 2008

Organization subpart

No

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

Authorized official

Name

Jonathan J Roy

Title

President

Phone

(207) 834-3701

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Mark Cieniawski, M.D.

  • Internal Medicine Physician
  • Portland, ME
  • NPI 1205870607
  NPD (past)

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1982876009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 VILLAGE RD",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431031",
            "telephone_number": "207-834-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 VILLAGE RD",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431031",
            "telephone_number": "207-834-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSWINDS RESIDENTIAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-834-3701"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS 2707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432521800",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Gregory Chasse, PAC
• George Henry Conover III, M.D.
• Kalina Conover
• Sasha Corriveau, RDH
• Jodi Pearl Cote, PMHNP
• Timothy L Cyr, OT
• Andrea Daigle, LMSW-CC
• Jennifer Karyl Daigle, AGNP-C
• Lucien JB Daigle, DMD
• Richard David Daigle, PT, DPT

• Assisted Living Facility in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.