DAVIS LONG TERM CARE GROUP INC NPI 1578530911

NPI Information

NPI: 1578530911
Provider Name: DAVIS LONG TERM CARE GROUP INC

Doing Business As: DAVIS ESTATES

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
96 STACKPOLE DRIVE
MACHIAS, ME
ZIP 04654
Phone: (207) 255-6611
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DAVIS LONG TERM CARE GROUP INC is an assisted living facility in Machias, 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. DAVIS LONG TERM CARE GROUP INC NPI is 1578530911. The provider is registered as an organization entity type.
The provider Is Doing Business As Davis Estates.

The provider's business location address is:

96 STACKPOLE DRIVE
MACHIAS, ME
ZIP 04654-115
Phone: (207) 255-6611
Fax: (207) 255-0689

The provider's authorized official is Chad A Cloutier .
The authorized official title is President/owner and has the following contact phone number (207) 594-4990.

The enumeration date for this NPI number is 3/3/2006 and was last updated on 8/16/2017.

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		121180000	MAINE	No
2	310400000X	Assisted Living Facility		PND665	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	METPID002096	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: 5/5/2024

NPI Synchronization or Removal

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