Fallbrook Woods

LBN: Fallbrook Inc
Fallbrook Woods is an health care organization with primary practice located at 418 Raystreet , Portland ME 04103. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Custodial Care Facility. Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) is the primary health care specialty. Fallbrook Inc can be contacted via phone (207) 878-0788, or through Feeney, Robert J via phone (207) 878-0788.

Contact Information

Primary practice address
418 Raystreet Portland ME 04103
Phone: (207) 878-0788
Fax: (207) 878-7734
Website:
Map and Directions
Authorized official contact:
Name: Feeney, Robert J ADMINISTRATOR
Phone: (207) 878-0788

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X 372595 Maine
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X 372595 Maine

Profile Details

NPI number 1366600371
LBN Legal business name Fallbrook Inc
DBA Doing business as Fallbrook Woods
Authorized official Feeney, Robert J ADMINISTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2008
Last updated May 27th, 2008 - about 18 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 1366600371 NPPES
Maine MEDICAID 123760000

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