SIESTA HAVEN II NPI 1417267535

NPI Information

  • NPI: 1417267535
  • Provider Name: SIESTA HAVEN II
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 33 JAMES ST
    BANGOR, ME
    ZIP 04401
  • Phone: (207) 944-6328

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NPI Details

SIESTA HAVEN II is an adult care home custodial care facility in Bangor, ME. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. SIESTA HAVEN II NPI is 1417267535. The provider is registered as an organization entity type.

The provider's business location address is:

33 JAMES ST
BANGOR, ME
ZIP 04401-634
Phone: (207) 944-6328

The provider's authorized official is Wendy Lainez .
The authorized official title is Owner/administrator and has the following contact phone number (207) 944-6328.

The enumeration date for this NPI number is 10/8/2010 and was last updated on 10/8/2010.

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
1311ZA0620XCustodial Care FacilityAdult Care HomeALLS 4085MAINEYes

What is NPI?

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This page was last updated on: 11/21/2025

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