Seaport Village Skilled Nursing Center Llc

LBN: Seaport Village Skilled Nursing Center Llc
Seaport Village Skilled Nursing Center Llc is an health care organization with primary practice located at 19 General Moore Way , Ellsworth ME 04605-1806. The organization recently has 4 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Ambulatory Health Care Facilities / Physical Therapy, Ambulatory Health Care Facilities / Occupational Medicine, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Seaport Village Skilled Nursing Center Llc can be contacted via phone (207) 667-9336, or through Bowden, Kenneth via phone (207) 874-2700.

Contact Information

Primary practice address
19 General Moore Way Ellsworth ME 04605-1806
Phone: (207) 667-9336
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bowden, Kenneth
Phone: (207) 874-2700

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 36346 Maine
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 36346 Maine
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X 36346 Maine
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 36555 Maine

Profile Details

NPI number 1558351841
LBN Legal business name Seaport Village Skilled Nursing Center Llc
DBA Doing business as
Authorized official Bowden, Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2005
Last updated Nov 19th, 2014 - about 10 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 1558351841 NPPES
Maine MEDICAID 104690000

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