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FAIRMOUNT BOARDING HOME NPI 1477797181


NPI Information

NPI: 1477797181
Provider Name: FAIRMOUNT BOARDING HOME
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
8 13TH ST
BANGOR, ME
ZIP 04401
Phone: (207) 942-5816
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FAIRMOUNT BOARDING HOME is a custodial care facility in Bangor, ME. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. FAIRMOUNT BOARDING HOME NPI is 1477797181. The provider is registered as an organization entity type.

The provider's business location address is:

8 13TH ST
BANGOR, ME
ZIP 04401-538
Phone: (207) 942-5816
Fax: (207) 942-2701

The provider's authorized official is Raymond H Bishop .
The authorized official title is Owner and has the following contact phone number (207) 924-6211.

The enumeration date for this NPI number is 4/24/2009 and was last updated on 4/27/2009.


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
1311Z00000XCustodial Care FacilityALLS 3363MAINEYes

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
1103580001MEDICAIDMAINE

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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