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City of Portland

NPI 1609917889ActiveOrganization· Skilled Nursing Facility· Portland, ME

Skilled Nursing Facility in Portland, Maine, registered in NPPES in February 2007. The authorized official on file is Jeralyn P. Logue, Finance Administrator. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1609917889
StatusActive
Entity typeOrganization
NPI issuedFeb 9, 2007
Last updated in NPPESJun 25, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X36498ME
Custodial Care Facility311Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (ME)

Medicare sources and data years

Other Skilled Nursing Facility providers in Portland

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