SEAPORT VILLAGE SKILLED NURSING CENTER LLC
NPI 1558351841
Skilled Nursing Facility in Ellsworth, ME
NPI Status: Active since October 27, 2005
Contact Information
19 GENERAL MOORE WAY
ELLSWORTH, ME
ZIP 04605
Phone: (207) 667-9336
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- CLIA Number: 20D0873335
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 07-22-2025
About SEAPORT VILLAGE SKILLED NURSING CENTER LLC
This page provides the complete NPI Profile along with additional information for Seaport Village Skilled Nursing Center Llc, a provider established in Ellsworth, Maine operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1558351841 assigned on October 2005. The practitioner's primary taxonomy code is 314000000X with license number 36555 (ME). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kenneth Bowden (Ceo)
- NPI
- 1558351841
- Provider Name
- SEAPORT VILLAGE SKILLED NURSING CENTER LLC
- Entity Type
- Organization
- Location Address
- 19 GENERAL MOORE WAY ELLSWORTH, ME 04605
- Location Phone
- (207) 667-9336
- Mailing Address
- 19 GENERAL MOORE WAY ELLSWORTH, ME 04605
- Mailing Phone
- (207) 667-9336
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-27-2005
- Last Update Date
- 11-19-2014
- Code Navigator
Location Map
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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 36555
- License State
- ME
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | 36346 (ME) |
| 2 | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center | 36346 (ME) |
| 3 | 261QX0100X | Ambulatory Health Care Facilities | Clinic/Center | 36346 (ME) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
- NH Local Choice HMO Bronze 8000 - HMO
- NH Local Choice HMO Gold - HMO
- NH Local Choice HMO Gold 1400 - HMO
- NH Local Choice HMO HSA Bronze 6000 - HMO
- NH Local Choice HMO Silver 3500 - HMO
- NH Local Choice HMO Silver 5000 - HMO
- NH Local HMO Bronze 7500 Standard - HMO
- NH Local HMO Gold 1500 Standard - HMO
- NH Local HMO Silver 5000 Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104690000 | MEDICAID (05) | ME | |
| 205145 | MEDICARE OSCAR/CERTIFICATION (06) | ME |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 20D0873335
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- July 23, 2023
- Certificate Expiration Date
- July 22, 2025
- Laboratory Director
- KENNETH HUHN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Seaport Village Skilled Nursing Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SEAPORT VILLAGE SKILLED NURSING CENTER LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 5 | 5 | 8 | 3 | 5 | 1 | 8 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 10 | 8 | 6 | 5 | 2 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 0 + 8 + 6 + 5 + 2 + 8 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1558351841 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316391428 | REBECCA MARIE LABRIE OTR/L Individual | Occupational Therapist (Physical Rehabilitation) | 19 GENERAL MOORE WAY ELLSWORTH, ME 04605 (207) 667-9336 |
| 1689029423 | BLAKE STEVENS Individual | Speech-Language Pathologist | 19 GENERAL MOORE WAY ELLSWORTH, ME 04605 (207) 667-9336 |
| 1629423447 | KATHERINE DURGIN OTR/L Individual | Occupational Therapist | 19 GENERAL MOORE WAY ELLSWORTH, ME 04605 (207) 667-9337 |
| 1942783188 | LINDSEY RAE FISHER OTR/L Individual | Occupational Therapist | 19 GENERAL MOORE WAY ELLSWORTH, ME 04605 (207) 667-9336 |
| 1154948354 | HILLARY LOUISE PELKEY PTA Individual | Physical Therapy Assistant | 19 GENERAL MOORE WAY ELLSWORTH, ME 04605 (207) 667-9336 |
| 1972114312 | KATELYN PATRICIA RYAN Individual | Physical Therapist | 19 GENERAL MOORE WAY ELLSWORTH, ME 04605 (207) 667-9336 |
| 1073382255 | BELLA POINT INC Organization | Assisted Living Facility | 19 GENERAL MOORE WAY ELLSWORTH, ME 04605 (207) 549-4990 |
| 1518782077 | BROCK HEALTH INC Organization | Assisted Living Facility | 19 GENERAL MOORE WAY ELLSWORTH, ME 04605 (207) 667-9336 |
| 1841006053 | BROCK SEAL COVE LLC Organization | Assisted Living Facility | 19 GENERAL MOORE WAY ELLSWORTH, ME 04605 (207) 667-9336 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558351841, enumerated in the NPI registry as an "organization" on October 27, 2005
The provider is located at 19 General Moore Way Ellsworth, Me 04605 and the phone number is (207) 667-9336
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Harvard Pilgrim. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 20D0873335 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 27, 2005. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.