CHANGING TIDES RESIDENTAL CARE FACILITY
NPI 1154796415
Nursing Facility/Intermediate Care Facility in Harrington, ME

NPI Status: Active since December 11, 2015

Contact Information

57 E MAIN ST
HARRINGTON, ME
ZIP 04643
Phone: (207) 598-8668
Fax: (207) 483-8100

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About CHANGING TIDES RESIDENTAL CARE FACILITY

This page provides the complete NPI Profile along with additional information for Changing Tides Residental Care Facility, a provider established in Harrington, Maine operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1154796415 assigned on December 2015. The practitioner's primary taxonomy code is 313M00000X with license number RCC2376 (ME). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Tara L Skeate Crma, Pss (Administrator)

NPI
1154796415
Provider Name
CHANGING TIDES RESIDENTAL CARE FACILITY
Entity Type
Organization
Location Address
57 E MAIN ST HARRINGTON, ME 04643
Location Phone
(207) 598-8668
Location Fax
(207) 483-8100
Mailing Address
57 E MAIN ST HARRINGTON, ME 04643
Mailing Phone
(207) 598-8668
Mailing Fax
(207) 483-8100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-11-2015
Last Update Date
12-11-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
RCC2376
License State
ME
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TARA L SKEATE CRMA, PSS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(207) 598-8668

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154796415
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041491242
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 4 + 9 + 1 + 2 + 4 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1154796415 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366518722MS. KAREN D. BARBEE LCSW, LADC, CCS
Individual
Social Worker (Clinical)57 E MAIN ST
HARRINGTON, ME 04643
(207) 483-1300
1528301249 DEDRA LYNN RAGOT LCSW
Individual
Social Worker (Clinical)57 E MAIN ST
HARRINGTON, ME 04643
(207) 483-1300
1548635063 TARA SKEATE CRMA, PSS
Individual
Home Health Aide57 E MAIN ST
HARRINGTON, ME 04643
(207) 598-8668

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154796415, enumerated in the NPI registry as an "organization" on December 11, 2015

The provider is located at 57 E Main St Harrington, Me 04643 and the phone number is (207) 598-8668

This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X

This NPI record was last updated on December 11, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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