Healthcare Provider Details

I. General information

NPI: 1447354576
Provider Name (Legal Business Name): REDDING HOMES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 PLEASANT STREET
CANTON ME
04221-0636
US

IV. Provider business mailing address

26 PLEASANT STREET PO BOX 636
CANTON ME
04221-0636
US

V. Phone/Fax

Practice location:
  • Phone: 207-597-2510
  • Fax: 207-597-2580
Mailing address:
  • Phone: 207-597-2510
  • Fax: 207-597-2580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number2003
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberALLS 2084
License Number StateME

VIII. Authorized Official

Name: MR. MARK A JACOBS
Title or Position: ADMINISTRATOR
Credential:
Phone: 207-597-2510