Freeport Nursing Home, Inc

LBN: Freeport Nursing Home, Inc
Freeport Nursing Home, Inc is an health care organization with primary practice located at 3 East St , Freeport ME 04032-1405. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Freeport Nursing Home, Inc can be contacted via phone (207) 786-0111, or through Hicks, David R via phone (207) 786-0111.

Contact Information

Primary practice address
3 East St Freeport ME 04032-1405
Phone: (207) 786-0111
Fax: (207) 783-5016
Website:
Map and Directions
Authorized official contact:
Name: Hicks, David R
Phone: (207) 786-0111

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 36218 Maine

Profile Details

NPI number 1477554111
LBN Legal business name Freeport Nursing Home, Inc
DBA Doing business as
Authorized official Hicks, David R
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2005
Last updated Feb 9th, 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 1477554111 NPPES
Maine MEDICAID 104840000

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