COLONIAL HEALTHCARE NPI 1710977236

NPI Information

  • NPI: 1710977236
  • Provider Name: COLONIAL HEALTHCARE
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 20D0687872
  • Address: 36 WORKMAN TER
    LINCOLN, ME
    ZIP 04457
  • Phone: (207) 794-6534

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NPI Details

COLONIAL HEALTHCARE is an assisted living facility in Lincoln, 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. COLONIAL HEALTHCARE NPI is 1710977236. The provider is registered as an organization entity type.

The provider's business location address is:

36 WORKMAN TER
LINCOLN, ME
ZIP 04457-162
Phone: (207) 794-6534

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

The CLIA number assigned to this NPI record is 20D0687872 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2005 and was last updated on 9/9/2025.

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
1310400000XAssisted Living Facility2107MAINEYes

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
1121730000MEDICAIDMAINE

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: 11/21/2025

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