Coastal Manor Nursing Home

LBN: Coastal Manor Corporation
Coastal Manor Nursing Home is an health care organization with primary practice located at 20 W Main St , Yarmouth ME 04096-8412. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Coastal Manor Corporation can be contacted via phone (207) 846-5013, or through Gadway, Orey F via phone (207) 846-5013.

Contact Information

Primary practice address
20 W Main St Yarmouth ME 04096-8412
Phone: (207) 846-5013
Fax: (207) 846-2252
Website:
Map and Directions
Authorized official contact:
Name: Gadway, Orey F
Phone: (207) 846-5013

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 36175 Maine

Profile Details

NPI number 1811990757
LBN Legal business name Coastal Manor Corporation
DBA Doing business as Coastal Manor Nursing Home
Authorized official Gadway, Orey F
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811990757 NPPES
Maine Other 141P10285 MEDICARE PART A
Maine Other 205157 MEDICARE PART A
Maine Other 040823 MEDICARE PART A
Maine MEDICAID 115010000 MEDICARE PART A

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