Healthcare Provider Details

I. General information

NPI: 1659362481
Provider Name (Legal Business Name): MAINEGENERAL HEALTH REHABILITATION & LONG TERM CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2005
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 GRAY BIRCH DRIVE
AUGUSTA ME
04330-6105
US

IV. Provider business mailing address

37 GRAY BIRCH DRIVE
AUGUSTA ME
04330-6105
US

V. Phone/Fax

Practice location:
  • Phone: 207-621-7100
  • Fax: 207-621-7101
Mailing address:
  • Phone: 207-621-7100
  • Fax: 207-621-7101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1927
License Number StateME

VIII. Authorized Official

Name: GREGORY PIZZO
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 207-861-3451