Seaside Healthcare LLC
NPI 1902893555ActiveOrganization· Skilled Nursing Facility· Portland, ME
Skilled Nursing Facility in Portland, Maine, registered in NPPES in September 2005. The authorized official on file is Kenneth Bowden, Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1902893555 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2005 |
| Last updated in NPPES | May 20, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 1902 | ME |
| Speech-Language Pathologist | 235Z00000X | 36297 | ME |
| Clinic/Center, Physical Therapy | 261QP2000X | 36297 | ME |
| Clinic/Center, Occupational Medicine | 261QX0100X | 36297 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (ME) |
|---|
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