ASSISTED LIVING AT ST. ANDREWS VILLAGE
NPI 1093801284
Assisted Living Facility in Boothbay Harbor, ME

Active since October 05, 2006CLIA 20D1013348 · Waiver
145 EMERY LANE, BOOTHBAY HARBOR, ME 04538(207) 633-0920(207) 633-1211 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Assisted Living At St. Andrews Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASSISTED LIVING AT ST. ANDREWS VILLAGE (NPI 1093801284) is a healthcare organization registered as an assisted living facility in Boothbay Harbor, Maine and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Wayne Printy, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093801284
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAINEHEALTH
Location Address145 EMERY LANEBoothbay Harbor, ME 04538
Mailing Address145 Emery LaneBoothbay Harbor, ME 04538 · (207) 633-0920 · Fax (207) 633-1211
Fax(207) 633-1211
Organization SubpartYes
Authorized OfficialWayne PrintyCfo · (207) 563-4476
Enumeration DateOctober 5, 2006
Last NPPES UpdateSeptember 8, 2020
NPPES CertifiedSeptember 8, 2020
NPI 1093801284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in ME · ALLS1758
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
145 EMERY LANE, Boothbay Harbor, ME 04538

Other Names 1

Doing Business AsAssisted Living At St. Andrews Village

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D1013348

Mainehealth Dba Gregory Wing Of Saint Andrews Village · Boothbay Harbor, ME
Active · expires Jun 8, 2027
CLIA Number20D1013348
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorCheryl Day
Laboratory Phone(207) 633-0920
Laboratory LocationMainehealth Dba Gregory Wing Of Saint Andrews Village145 Emery Lane Attn Cheryl Day, Boothbay Harbor, ME 04538
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nursing Facility/Intermediate Care Facility
145 EMERY LANE
BOOTHBAY HARBOR, ME 04538
Alzheimer Center (Dementia Center)
145 EMERY LANE
BOOTHBAY HARBOR, ME 04538

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mainehealth's NPI number?

The NPI number for Mainehealth is 1093801284. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Assisted Living At St. Andrews Village.

Where is Mainehealth located?

Mainehealth is located at 145 Emery Lane, Boothbay Harbor, ME 04538. The listed phone number is (207) 633-0920.

What is Mainehealth's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Mainehealth hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D1013348) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mainehealth was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.