MEDICARE: ELERA HEALTH MAINE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	133N00000X	Nutritionist
2	101YM0800X	Mental Health Counselor
3	235Z00000X	Speech-Language Pathologist
4	225100000X	Physical Therapist
5	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1801776299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELERA HEALTH MAINE

Provider Business Mailing Address
First Line	:	51 MOUNTAIN MIST LN
Second Line	:
City	:	DIXMONT
State	:	ME
Zip	:	04932-3640
Country	:	US
Telephone Number	:	678-477-2318
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 MOUNTAIN MIST LN
Second Line	:
City	:	DIXMONT
State	:	ME
Zip	:	04932-3640
Country	:	US
Telephone Number	:	678-477-2318
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	AARON SHAPIRO
Credential	:
Telephone Number	:	678-477-2318

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	03/30/2026

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Directions to “ELERA HEALTH MAINE ” Practice Location

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