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Contact Information

ST JOSEPHS REHABILITATION & RESIDENCE
1133 WASHINGTON AVE
PORTLAND, ME04103-3629
 Phone: 207-797-0600
 Fax: 207-797-4168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
 

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for ST JOSEPHS REHABILITATION & RESIDENCE

NPI # 1790776110
LBN Legal business name ST JOSEPHS REHABILITATION & RESIDENCE
Authorized official PEGGY FARRINGTON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2005
Last updated 08/19/2015 - About 11 years ago
Identifiers
ME License # 1908
ME Medicaid 107380000
ME Medicaid 107380001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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