Active NPIOrganization

Brock Halldale LLC

Assisted Living Facility in Farmingdale, Maine

NPI Number1255140307
Practice location
647 Maine Ave, Farmingdale, ME 04344-1526
Fax
—
Last updated
January 3, 2025

Brock Halldale LLC is a healthcare organization based in Farmingdale, ME. Brock Halldale LLC practices in Farmingdale, ME. The NPI Number for Brock Halldale LLC is 1255140307. The current practice location address for Brock Halldale LLC is 647 Maine Ave, Farmingdale, ME 04344-1526 and can be reached out via phone at 207-622-7082.

Provider Profile Details

NPI Number
1255140307
Provider Name
Brock Halldale LLC
Provider Entity Type
Organization
Address
647 Maine Ave, Farmingdale, ME 04344-1526
Phone Number
207-622-7082
Primary Taxonomy
Assisted Living Facility · 310400000X
Organization Subpart
No
Authorized Official
Kelly Wesbrock · Chief Executive Officer · 207-691-5059
Other Names
Halldale Assisted Living (Doing Business As)
Provider Enumeration Date
January 3, 2025
Last Update Date
January 3, 2025
Certification Date
January 3, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
647 Maine Ave
Farmingdale, ME 04344-1526
State
Maine
Zip
04344-1526
Phone Number
207-622-7082
Farmingdale, ME 04344Get directions →

Provider Business Mailing Address Details

Address
647 Maine Ave
Farmingdale, ME 04344-1526
City
Farmingdale
State
ME
Zip
04344-1526
Phone Number
207-622-7082

License Information

Taxonomy
Assisted Living Facility · 310400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brock Halldale LLC?

The NPI number of Brock Halldale LLC is 1255140307. It was assigned on January 3, 2025 and is currently active in the NPPES registry.

What is the specialty of Brock Halldale LLC?

Brock Halldale LLC is registered under the primary taxonomy Assisted Living Facility (code 310400000X).

Where does Brock Halldale LLC practice?

The practice location is 647 Maine Ave, Farmingdale, ME 04344-1526. The office can be reached at 207-622-7082 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255140307 directly on the NPPES registry website.

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