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

NPI Status: Active since May 24, 2005

Contact Information

162 ACADEMY ST
PRESQUE ISLE, ME
ZIP 04769
Phone: (207) 764-0145
Fax: (207) 764-7327

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  • Organization
  • Nursing Facility/Intermediate Care Facil...
  • CLIA Number: 20D0090040
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About PRESQUE ISLE REHAB AND NURSING CENTER

This page provides the complete NPI Profile along with additional information for Presque Isle Rehab And Nursing Center, a provider established in Presque Isle, Maine operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1114920097 assigned on May 2005. The practitioner's primary taxonomy code is 313M00000X with license number 36153 (ME). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Presque Isle Rehab And Nursing Center. The authorized official of this NPI record is Ms. Rose-marie C Louten Ms Rd (Administrator)

NPI
1114920097
Provider Legal Name
CARIBOU NURSING HOME INC
Other Organization Name
PRESQUE ISLE REHAB AND NURSING CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
162 ACADEMY ST PRESQUE ISLE, ME 04769
Location Phone
(207) 764-0145
Location Fax
(207) 764-7327
Mailing Address
162 ACADEMY ST PRESQUE ISLE, ME 04769
Mailing Phone
(207) 764-0145
Mailing Fax
(207) 764-7327
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2005
Last Update Date
10-29-2009
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
36153
License State
ME
Taxonomy Description
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.

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)
1314000000XNursing & Custodial Care Facilities

Skilled Nursing Facility

36153 (ME)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ROSE-MARIE C LOUTEN MS RD

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(207) 764-0145

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
20-5100MEDICARE ID-TYPE UNSPECIFIED (04)ME 
105890001MEDICAID (05)ME 
=========AOTHER (01)MEALTERNATE TAX ID

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
20D0090040
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
GAIL M. HALLET
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Presque Isle Rehab And Nursing Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114920097, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 8 + 2 + 0 + 0 + 1 + 8 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1114920097.

Other Providers at the Same Location


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

Occupational Therapist
162 ACADEMY ST
PRESQUE ISLE, ME 04769
Physical Therapist
162 ACADEMY ST
PRESQUE ISLE, ME 04769
Physical Therapy Assistant
162 ACADEMY ST
PRESQUE ISLE, ME 04769
Dietitian, Registered
162 ACADEMY ST
PRESQUE ISLE, ME 04769
Skilled Nursing Facility
162 ACADEMY ST
PRESQUE ISLE, ME 04769

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114920097, enumerated as an "organization" on May 24, 2005.

The provider is located at 162 ACADEMY ST PRESQUE ISLE, ME 04769 and the phone number is (207) 764-0145.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.