Active NPIOrganization

Seaside Healthcare LLC

Skilled Nursing Facility in Portland, Maine

NPI Number1902893555
Practice location
850 Baxter Blvd, Portland, ME 04103-4901
Fax
207-775-2811
Last updated
May 20, 2009

Seaside Healthcare LLC is a healthcare organization based in Portland, ME. Seaside Healthcare LLC practices in Portland, ME. The NPI Number for Seaside Healthcare LLC is 1902893555 and holds a License No. 36297 (ME). The current practice location address for Seaside Healthcare LLC is 850 Baxter Blvd, Portland, ME 04103-4901 and can be reached out via phone at 207-774-7878 and via fax at 207-775-2811.

Provider Profile Details

NPI Number
1902893555
Provider Name
Seaside Healthcare LLC
Provider Entity Type
Organization
Address
850 Baxter Blvd, Portland, ME 04103-4901
Phone Number
207-774-7878
Fax Number
207-775-2811
Primary Taxonomy
Skilled Nursing Facility · 314000000X
Organization Subpart
No
Authorized Official
Mr. Kenneth Bowden · Ceo · 207-874-2700
Other Names
Seaside Retirement And Nursing Center (Doing Business As)
Provider Enumeration Date
September 29, 2005
Last Update Date
May 20, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
850 Baxter Blvd
Portland, ME 04103-4901
State
Maine
Zip
04103-4901
Phone Number
207-774-7878
Fax Number
207-775-2811
Portland, ME 04103Get directions →

Provider Business Mailing Address Details

Address
850 Baxter Blvd
Portland, ME 04103-4901
City
Portland
State
ME
Zip
04103-4901
Phone Number
207-774-7878
Fax Number
207-775-2811

License Information

License Number (1)
36297
License State (1)
ME
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
36297
License State (2)
ME
Taxonomy (2)
Clinic/Center, Physical Therapy · 261QP2000X
License Number (3)
36297
License State (3)
ME
Taxonomy (3)
Clinic/Center, Occupational Medicine · 261QX0100X
License Number (4)
1902
License State (4)
ME
Taxonomy (4)
Skilled Nursing Facility · 314000000X · 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 Seaside Healthcare LLC?

The NPI number of Seaside Healthcare LLC is 1902893555. It was assigned on September 29, 2005 and is currently active in the NPPES registry.

What is the specialty of Seaside Healthcare LLC?

Seaside Healthcare LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in ME under license number 36297.

Where does Seaside Healthcare LLC practice?

The practice location is 850 Baxter Blvd, Portland, ME 04103-4901. The office can be reached at 207-774-7878 (phone) or 207-775-2811 (fax).

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 1902893555 directly on the NPPES registry website.

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