Healthcare Provider Details

I. General information

NPI: 1619967627
Provider Name (Legal Business Name): CUMMINGS HEALTH CARE FACILITY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CROCKER STREET
HOWLAND ME
04448-0367
US

IV. Provider business mailing address

PO BOX 367 5 CROCKER STREET
HOWLAND ME
04448-0367
US

V. Phone/Fax

Practice location:
  • Phone: 207-732-4121
  • Fax: 207-732-5133
Mailing address:
  • Phone: 207-732-4121
  • Fax: 207-732-5133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number1884
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number1884
License Number StateME

VIII. Authorized Official

Name: MRS. MELINDA ELLEN GOSLIN
Title or Position: ADMINISTRATOR/CEO
Credential:
Phone: 207-732-4121