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ROSS MANOR ASSOCIATES NPI 1790910883


NPI Information

NPI: 1790910883
Provider Name: ROSS MANOR ASSOCIATES

Doing Business As: ROSS MANOR

Classification: Alzheimer Center (Dementia Center) - 311500000X
Entity Type: Organization

CLIA Number: 20D0705847

Address:
758 BROADWAY
BANGOR, ME
ZIP 04401
Phone: (207) 941-8400
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ROSS MANOR ASSOCIATES is an alzheimer center dementia center in Bangor, ME. The provider is a freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. ROSS MANOR ASSOCIATES NPI is 1790910883. The provider is registered as an organization entity type.
The provider Is Doing Business As Ross Manor.

The provider's business location address is:

758 BROADWAY
BANGOR, ME
ZIP 04401-224
Phone: (207) 941-8400
Fax: (207) 974-1135

The provider's authorized official is Wanda Pelkey .
The authorized official title is Cfo and has the following contact phone number (207) 874-2700.

The CLIA number assigned to this NPI record is 20D0705847 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2009 and was last updated on 5/19/2009.


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
1311500000XAlzheimer Center (Dementia Center)1988MAINEYes

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
1120640001MEDICAIDMAINE

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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