Brock Camden LLC is a Assisted Living Facility (organization) practicing in Camden, Maine. The National Provider Identifier (NPI) is #1962228247, which was assigned on December 2, 2024, and the registration record was last updated on December 2, 2024. The practitioner's main practice location is at 51 Mechanic St, Camden, ME 04843-1845; the contact telephone number is 2072363600. The primary taxonomy of Brock Camden LLC is Assisted Living Facility (310400000X). The authorized official for Brock Camden LLC is Kelly Wesbrock (Chief Executive Officer).
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
NPI | 1962228247 |
Entity Type | Organization |
Organization Name | BROCK CAMDEN LLC |
Provider Name | BROCK CAMDEN LLC |
Practice Address |
51 Mechanic St Camden ME 04843-1845 |
Practice Telephone | 2072363600 |
Mailing Address |
51 Mechanic St Camden ME 04843-1845 |
Mailing Telephone | 2072363600 |
Certification Date | 2024-12-02 |
Enumeration Date | 2024-12-02 |
Last Update Date | 2024-12-02 |
Is Organization Subpart | N |
Official Name | KELLY WESBROCK |
Official Title | CHIEF EXECUTIVE OFFICER |
Telephone | 2076915059 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility |
Other Organization Name | Type |
---|---|
BELLA POINT CAMDEN ASSISTED LIVING | Doing Business As Name |
Code | 310400000X |
Taxonomy | Assisted Living Facility |
Classification | Assisted Living Facility |
Grouping | Nursing & Custodial Care Facilities |
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
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Eben Ezer Lutheran Care Center | 1640 E Riverview Ave, Fort Morgan, CO 80701-3755 | Assisted Living Facility | 2024-12-06 |
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Trusted Care Assisted Living LLC | 4802 S 6th St, Phoenix, AZ 85040-2216 | Assisted Living Facility | 2024-12-05 |
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Street Address |
51 MECHANIC ST |
City | CAMDEN |
State | ME |
Zip Code | 04843-1845 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Brock Health Inc | 51 Mechanic St, Camden, ME 04843-1845 | Assisted Living Facility | 2024-11-20 |
Camden Point, Inc · Bella Point Camden | 51 Mechanic St, Camden, ME 04843-1845 | Assisted Living Facility | 2017-12-22 |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Katherine Schoenthaler Ervin | Po Box 1447, Camden, ME 04843-1447 | Psychiatry Physician | 2008-06-19 |
Atlantic Academy | 10 Knowlton St, Camden, ME 04843-1517 | Behavioral Analyst | 2017-07-10 |
Jonathan Philip Burns | 92 Elm St, Camden, ME 04843 | Chiropractor | 2012-12-17 |
Five Town Csd | 7 Lions Lane, Camden, ME 04843 | Local Education Agency (LEA) | 2007-05-10 |
David William Dodson | 13 Grove St, Camden, ME 04843 | Acupuncturist | 2007-08-29 |
Penobscot Bay Medical Equipment & Supplies, Inc. · Penobscot Bay Medical Supply | 14 Mill St, Camden, ME 04843-1510 | Durable Medical Equipment & Medical Supplies | 2006-08-16 |
Scott R. Mcpherson | 69 Elm St, Camden, ME 04843 | Counselor | 2006-03-20 |
Louise P Bakley | 69 Elm Street, Camden, ME 04843 | Speech-Language Pathologist | 2007-06-26 |
Lauren B Barnes | 7 Lions Ln, Camden, ME 04843-1536 | Occupational Therapy Assistant | 2007-10-01 |
Judith Orme | 69 Elm St., #203, Camden, ME 04843 | Clinical Social Worker | 2016-07-20 |
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Camden On Gauley Medical Center Inc · Camden Family Pharmacy | 415 Main St, Summersville, WV 26651-1343 | Pharmacy | 2015-04-13 |
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Camden On Gauley Medical Center Inc · Camden Family Health (Lewis) | 300 Minuteman Drive, Weston, WV 26452-1736 | Federally Qualified Health Center (FQHC) | 2015-06-08 |
Camden On Gauley Medical Center Inc · Camden Family Vision | 651 Water St, Summersville, WV 26651-1454 | Optometrist | 2022-06-30 |
Camden On Gauley Medical Center Inc · Camden Family Health (Richwood) | 58 E Main St, Richwood, WV 26261-1122 | Federally Qualified Health Center (FQHC) | 2015-11-13 |
Camden On Gauley Medical Center Inc · Camden Family Health | 101 Florence St, Ansted, WV 25812-5200 | Federally Qualified Health Center (FQHC) | 2020-10-06 |
Camden On Gauley Medical Center, Inc · Camden Family Health, Craigsville | 100 School St, Craigsville, WV 26205-8572 | Federally Qualified Health Center (FQHC) | 2013-08-13 |
Camden On Gauley Medical Center Inc · Camden Family Dentistry | 16414 Webster Rd, Craigsville, WV 26205-8512 | Dental Clinic/Center | 2016-11-10 |
Camden On Gauley Medical Center Inc · Camden Family Health | 110 Panther Creek Elementary Rd, Nettie, WV 26681-0000 | Federally Qualified Health Center (FQHC) | 2016-11-10 |
Camden On Gauley Medical Center Inc · Camden Family Health | 16 W Main St, Richwood, WV 26261-1008 | Federally Qualified Health Center (FQHC) | 2023-02-16 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |