NPIMap

Organization Active NPI

Maple Grove Nursing Home Inc

  • Alzheimer Center (Dementia Center)
  • Houlton, ME
National Provider Identifier
1982932364
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
2054 Issued in ME
Legal business name
MAPLE GROVE NURSING HOME INC
Practice address
93 Military St
Houlton, ME 04730-2421
Phone
(207) 532-6593
Fax
(207) 532-4456
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Jim Brown
Title
Manager
Phone
(207) 532-6593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 2054 ME Primary

Addresses

Primary practice location

93 Military St
Houlton, ME 04730-2421

Mailing address

93 Military St
Houlton, ME 04730-2421
Phone (207) 532-6593

National Provider Directory

National Provider Directory
Tax ID family
Maple Grove Nursing Home Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1982932364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 MILITARY ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047302421",
            "telephone_number": "207-532-6593",
            "fax_number": "207-532-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MILITARY ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047302421",
            "telephone_number": "207-532-6593",
            "fax_number": "207-532-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE GROVE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-532-6593"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "ME",
            "license": "2054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houlton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.