Portland Center For Assisted Living

LBN: 68 Devonshire Street
Portland Center For Assisted Living is an health care organization with primary practice located at 68 Devonshire St , Portland ME 04103-4431. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), which is considered as the primary health care specialty. 68 Devonshire Street can be contacted via phone (207) 772-2893, or through Pelkey, Wanda via phone (207) 874-2700.

Contact Information

Primary practice address
68 Devonshire St Portland ME 04103-4431
Phone: (207) 772-2893
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pelkey, Wanda
Phone: (207) 874-2700

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X 2011 Maine

Profile Details

NPI number 1427283514
LBN Legal business name 68 Devonshire Street
DBA Doing business as Portland Center For Assisted Living
Authorized official Pelkey, Wanda
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2009
Last updated May 19th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427283514 NPPES
Maine MEDICAID 131950001

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