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PHILLIPS-STRICKLAND HOUSE NPI 1447334479


NPI Information

NPI: 1447334479
Provider Name: PHILLIPS-STRICKLAND HOUSE
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 20D2205624

Address:
21 BOYD ST
BANGOR, ME
ZIP 04401
Phone: (207) 941-2820
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PHILLIPS-STRICKLAND HOUSE is an assisted living facility in Bangor, ME. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. PHILLIPS-STRICKLAND HOUSE NPI is 1447334479. The provider is registered as an organization entity type.

The provider's business location address is:

21 BOYD ST
BANGOR, ME
ZIP 04401-560
Phone: (207) 941-2820
Fax: (207) 941-2829

The provider's authorized official is Andrew Cassidy .
The authorized official title is Business Manager and has the following contact phone number (207) 941-2820.

The CLIA number assigned to this NPI record is 20D2205624 - other - residential care facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 4/10/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityALLS-1399MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1107540000MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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