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PRESQUE ISLE REHAB AND NURSING CENTER
NPI 1114920097
Nursing Facility/Intermediate Care Facility in Presque Isle, ME

Active since May 24, 2005CLIA 20D0090040 · Waiver
162 ACADEMY ST, PRESQUE ISLE, ME 04769(207) 764-0145(207) 764-7327 Get Directions Write a Review

NPPES record last updated: October 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Presque Isle Rehab And Nursing Center NPPES

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

PRESQUE ISLE REHAB AND NURSING CENTER (NPI 1114920097) is a healthcare organization registered as a nursing facility/intermediate care facility in Presque Isle, Maine and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Rose-marie C Louten, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114920097
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameCARIBOU NURSING HOME INC
Location Address162 ACADEMY STPresque Isle, ME 04769-3102
Mailing Address162 Academy StPresque Isle, ME 04769-3102 · (207) 764-0145 · Fax (207) 764-7327
Phone(207) 764-0145
Fax(207) 764-7327
Organization SubpartNo
Authorized OfficialRose-marie C LoutenAdministrator · (207) 764-0145
Enumeration DateMay 24, 2005
Last NPPES UpdateOctober 29, 2009
✔ NPI 1114920097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in ME · 36153
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 36153 (ME)
162 ACADEMY ST, Presque Isle, ME 04769
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Other Names 1

Doing Business AsPresque Isle Rehab And Nursing Center

Other Identifiers 3

Medicare ID-Type Unspecified20-5100ME
Medicaid105890001ME
Other=========AME · Alternate Tax Id

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 20D0090040

Presque Isle Rehab & Nursing Center · Presque Isle, ME
Active · expires Aug 31, 2026
CLIA Number20D0090040
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGail M. Hallet
Laboratory Phone(207) 764-0145
Laboratory LocationPresque Isle Rehab & Nursing Center162 Academy Street, Presque Isle, ME 04769
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

KARI BARTLETT
Physical Therapy Assistant
162 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 764-0145
SHARI LEE CHENEY OTR/L
Occupational Therapist
162 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 764-0145
KATHLEEN CASE PT
Physical Therapist
162 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 764-0145
PRESQUE ISLE HEALTHCARE CENTER LLC
Skilled Nursing Facility
162 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 619-7942
MS. ROSE MARIE CYR LOUTEN MS RD LD
Dietitian, Registered
162 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 764-0575

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 Caribou Nursing Home Inc's NPI number?

The NPI number for Caribou Nursing Home Inc is 1114920097. It was assigned to this organization in the NPPES registry on May 24, 2005. The provider is doing business as Presque Isle Rehab And Nursing Center.

Where is Caribou Nursing Home Inc located?

Caribou Nursing Home Inc is located at 162 Academy St, Presque Isle, ME 04769. The listed phone number is (207) 764-0145.

What is Caribou Nursing Home Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Caribou Nursing Home Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D0090040) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Caribou Nursing Home Inc was last updated on October 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.