MONTELLO MANOR
NPI 1225022163
Nursing Facility/intermediate Care Facility in Lewiston,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 7, 2005

Contact Information

540 College St
Lewiston,
Post Code: 04240
Phone: (207) 783-2039
Fax: (207) 782-0184

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Montello Manor in Lewiston - Nursing Facility/Intermediate Care Facility

Montello Manor is a Nursing Facility/Intermediate Care Facility in Lewiston, . Montello Manor practices all healthcare services and medical treatments related to Nursing Facility/Intermediate Care Facility. The NPI Number for Montello Manor is 1225022163. The last update date is 2015-08-25.

Montello Manor's current location address is 540 College St, Lewiston, . You can contact this provider via phone number (207) 783-2039 and fax number (207) 782-0184. The mailing address for Montello Manor is 540 College St, Lewiston, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1225022163
Provider Legal Name
ROUSSEAU ENTERPRISES LLC
Other Organization Name
MONTELLO MANOR
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
540 College St, Lewiston,
Location Phone
(207) 783-2039
Location Fax
(207) 782-0184
Mailing Address
540 College St, Lewiston, Maine(ME)
Mailing Phone
207-783-2039
Mailing Fax
207-782-0184
Enumeration Date
2005-09-07
Last Update Date
2015-08-25
Code Navigator

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
-
License No.
1787
License State
Maine (ME)
Taxonomy Description
-

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 313M00000X Nursing Facility/Intermediate Care Facility

Nursing Facility/Intermediate Care Facility

1787 (Maine)

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
111890002 MEDICAID (05) Maine (ME)

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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.
1225022163
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245024112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2245024112
2 + 2 + 4 + 5 + 0 + 2 + 4 + 1 + 1 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 3 3

The NPI number 1225022163 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225020480 JEAN HENDERSON TIBBETTS
Individual
Specialist 417 STATE ST
BANGOR, Maine (ME)
207-947-1291
1225018740 WATERBORO VILLAGE PEDIATRICS LLC PA
Organization
Pediatrics PO BOX 1849
LEWISTON, Maine (ME)
207-784-2554
1225018633 BELTON DOUGLAS HALLMARK
Individual
Family Medicine 1189 S PERRY ST STE 230
CASTLE ROCK, Colorado (CO)
303-688-3434
1225015829 ARI S BERMAN
Individual
Hospitalist 175 FORE RIVER PKWY
PORTLAND, Maine (ME)
207-879-3000
1225015084 YOUNG & NOVIS, P.A.
Organization
Pathology, Anatomic Pathology & Clinical Pathology PO BOX 1849
LEWISTON, Maine (ME)
207-784-2554