=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932971736
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GREAT POINT HOMES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/25/2023
-----------------------------------------------------
Last Update Date | 10/25/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 112 N SEARSPORT RD
-----------------------------------------------------
City | FRANKFORT
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04438-3204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-223-4509
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 49 PATTERSON RD
-----------------------------------------------------
City | HAMPDEN
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04444-2002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-212-1312
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | TERESA TOZIER
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 207-212-1312
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------