NPIMap

Organization Active NPI

Davis Long Term Care Group Inc

Doing business as Lodges Care Center

  • Assisted Living Facility
  • Springvale, ME
National Provider Identifier
1992772347
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
407340000 Issued in ME
Legal business name
DAVIS LONG TERM CARE GROUP INC
Doing business as
Lodges Care Center
Practice address
51 Main St
Springvale, ME 04083-1843
Phone
(207) 324-4757
Fax
(207) 490-6530
NPI assigned
Mar 3, 2006
Last updated
Jul 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Bernard E Davis Jr.
Title
President
Phone
(207) 594-4990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 407340000 ME Primary

Addresses

Primary practice location

51 Main St
Springvale, ME 04083-1843

Mailing address

58 Park St
Suite 202
Rockland, ME 04841-2862
Phone (207) 594-4985

Other names 1

  • Lodges Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davis Long Term Care Grop Inc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1992772347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PARK ST",
            "address_2": "SUITE 202",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412862",
            "telephone_number": "207-594-4985",
            "fax_number": "207-594-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 MAIN ST",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831843",
            "telephone_number": "207-324-4757",
            "fax_number": "207-490-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS LONG TERM CARE GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-594-4990",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "407340000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lodges Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springvale, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.