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MERCY HOME
NPI 1124090238
Skilled Nursing Facility in Eagle Lake, ME

Active since February 02, 2006CLIA 20D0684504 · Waiver
3402 ARROOSTOOK RD, EAGLE LAKE, ME 04739(207) 444-5152 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mercy Home NPPES

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

MERCY HOME (NPI 1124090238) is a healthcare organization registered as a skilled nursing facility in Eagle Lake, Maine and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Reynold Raymond, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1124090238
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNORTHERN MAINE GENERAL
Location Address3402 ARROOSTOOK RDEagle Lake, ME 04739-0310
Mailing AddressPo Box 310Eagle Lake, ME 04739-0310 · (207) 444-5152 · Fax (207) 444-6099
Phone(207) 444-5152
Organization SubpartNo
Authorized OfficialReynold RaymondChief Executive Officer · (207) 444-5152
Enumeration DateFebruary 2, 2006
Last NPPES UpdateMarch 30, 2012
✔ NPI 1124090238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in ME · 1999
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3402 ARROOSTOOK RD, Eagle Lake, ME 04739
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Other Names 1

Doing Business AsMercy Home

Other Identifiers 2

Medicare OSCAR/certification205129ME
Medicaid102850000ME

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 20D0684504

Mercy Home · Eagle Lake, ME
Active · expires Aug 31, 2026
CLIA Number20D0684504
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPaul Pelletier
Laboratory Phone(207) 444-5921
Laboratory LocationMercy HomePO Box 228, Eagle Lake, ME 04739
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Northern Maine General's NPI number?

The NPI number for Northern Maine General is 1124090238. It was assigned to this organization in the NPPES registry on February 2, 2006. The provider is doing business as Mercy Home.

Where is Northern Maine General located?

Northern Maine General is located at 3402 Arroostook Rd, Eagle Lake, ME 04739. The listed phone number is (207) 444-5152.

What is Northern Maine General's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Northern Maine General hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D0684504) 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 Northern Maine General was last updated on March 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.