WOODLANDS SENIOR LIVING OF WATERVILLE INC. NPI 1346212438

NPI Information

NPI: 1346212438
Provider Name: WOODLANDS SENIOR LIVING OF WATERVILLE, INC.

Doing Business As: WOODLANDS ASSISTED LIVING OF WATERVILLE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 20D2202258

Address:
147 W RIVER RD
WATERVILLE, ME
ZIP 04901
Phone: (207) 861-5685
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WOODLANDS SENIOR LIVING OF WATERVILLE, INC. is an assisted living facility in Waterville, 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. WOODLANDS SENIOR LIVING OF WATERVILLE, INC. NPI is 1346212438. The provider is registered as an organization entity type.
The provider Is Doing Business As Woodlands Assisted Living Of Waterville.

The provider's business location address is:

147 W RIVER RD
WATERVILLE, ME
ZIP 04901-070
Phone: (207) 861-5685
Fax: (207) 861-5684

The provider's authorized official is Jill A Sirois .
The authorized official title is Professional Services Consultant and has the following contact phone number (207) 872-8992.

The CLIA number assigned to this NPI record is 20D2202258 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2006 and was last updated on 1/15/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		ALLS1990	MAINE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ALLS1990	OTHER	MAINE	ASSISTED LIVING LICENSE #
2	127550000	MEDICAID	MAINE

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

NPI Synchronization or Removal

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