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St Josephs Rehabilitation & Residence
Nursing Facility/Intermediate Care Facility in Portland, Maine
NPI 1790776110

St Josephs Rehabilitation & Residence is a Nursing Facility/Intermediate Care Facility based in Portland, ME. St Josephs Rehabilitation & Residence practices in Portland, ME. The NPI Number for St Josephs Rehabilitation & Residence is 1790776110 and holds a License No. 1908 (Maine).

The current practice location address for St Josephs Rehabilitation & Residence is 1133 Washington Ave, Portland, ME and can be reached out via phone at 207-797-0600 and via fax at 207-797-4168.

Location: 1133 Washington Ave, Portland, ME, 04103-3629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790776110
Provider Name
St Josephs Rehabilitation & Residence
Credential
Provider Entity Type
Organization
Address
1133 Washington Ave, Portland, ME, 04103-3629
Phone Number
207-797-0600
Fax Number
207-797-4168
Provider Enumeration Date
11/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107380000 05 ME
107380001 05 ME
institution
Provider Business Practice Location Address Details
Address
1133 Washington Ave
City
Portland
State
Maine
Zip
04103-3629
Phone Number
207-797-0600
Fax Number
207-797-4168
person
Provider Business Mailing Address Details
Address
1133 Washington Ave
City
Portland
State
Maine
Zip
04103-3629
Phone Number
207-797-0600
Fax Number
207-797-4168
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
1908 (Maine)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
1908 (Maine)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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