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SEASIDE HEALTHCARE LLC NPI 1902893555


NPI Information

NPI: 1902893555
Provider Name: SEASIDE HEALTHCARE LLC

Doing Business As: SEASIDE RETIREMENT AND NURSING CENTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
850 BAXTER BLVD
PORTLAND, ME
ZIP 04103
Phone: (207) 774-7878
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SEASIDE HEALTHCARE LLC is a skilled nursing facility in Portland, ME. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. SEASIDE HEALTHCARE LLC NPI is 1902893555. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Seaside Retirement And Nursing Center.

The provider's business location address is:

850 BAXTER BLVD
PORTLAND, ME
ZIP 04103-901
Phone: (207) 774-7878
Fax: (207) 775-2811

The provider's authorized official is Kenneth Bowden .
The authorized official title is Ceo and has the following contact phone number (207) 874-2700.

The enumeration date for this NPI number is 9/29/2005 and was last updated on 5/20/2009.


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
1235Z00000XSpeech-Language Pathologist36297MAINENo
2261QP2000XClinic/CenterPhysical Therapy36297MAINENo
3261QX0100XClinic/CenterOccupational Medicine36297MAINENo
4314000000XSkilled Nursing Facility1902MAINEYes

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
113093001MEDICAIDMAINE
2130930000MEDICAIDMAINE
3205074AMEDICARE ID-TYPE UNSPECIFIEDMAINE

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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