Montello Manor
LBN: Rousseau Enterprises Llc
Montello Manor is an health care organization with primary practice located at 540 College St , Lewiston ME 04240-5228. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Rousseau Enterprises Llc can be contacted via phone (207) 783-2039, or through Bowden, Kenneth via phone (207) 874-2700.
Contact Information
Primary practice address
540 College St
Lewiston ME 04240-5228
Phone: (207) 783-2039
Fax: (207) 782-0184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 1787 | Maine |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 1787 | Maine |
Profile Details
| NPI number | 1225022163 |
|---|---|
| LBN Legal business name | Rousseau Enterprises Llc |
| DBA Doing business as | Montello Manor |
| Authorized official | Bowden, Kenneth |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Aug 25th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225022163 | NPPES |
| Maine | MEDICAID | 111890002 |
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