BANGOR NURSING & REHABILITATION CENTER
NPI 1366431694
Skilled Nursing Facility in Bangor, ME

Active since October 19, 2005CLIA 20D0685792 · Waiver
1/5
Overall Rating
103 TEXAS AVE, BANGOR, ME 04401(207) 947-4557 Get Directions Write a Review

NPPES record last updated: December 21, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bangor Nursing & Rehabilitation Center NPPES

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

BANGOR NURSING & REHABILITATION CENTER (NPI 1366431694), doing business as Bangor Nursing And Rehabilitation Center, is a healthcare organization registered as a skilled nursing facility in Bangor, Maine and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Brian Donahue, Cfo, as its authorized official.

NPPES Registry Identity

NPI1366431694
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBANGOR NURSING & REHABILITATION CENTER
Location Address103 TEXAS AVEBangor, ME 04401-4324
Mailing Address103 Texas AveBangor, ME 04401-4324
Organization SubpartNo
Authorized OfficialBrian DonahueCfo · (207) 947-4557
Enumeration DateOctober 19, 2005
Last NPPES UpdateDecember 21, 2017
NPI 1366431694 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 · 36315
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.

103 TEXAS AVE, Bangor, ME 04401

Other Names 1

Former Legal Business NameBangor Nursing And Rehabilitation Center

Accepted Insurance

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating - 1 out of 5 stars - Much Below Average
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 2 out of 5 stars - Below Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 1 out of 5 stars - Much Below Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating - 3 out of 5 stars - Average
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
Staffing Rating - 3 out of 5 stars - Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours3.26 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours1 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
Ownership TypeNon profit - Church related
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds60 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day53 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents2 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints6 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections5 citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties0 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines0 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$0.00
Total monetary amount of fine imposed on the facility in the last 3 years.

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
20D0685792
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
DAWN M. BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bangor Nursing & Rehabilitation 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.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Public Health or Welfare
103 TEXAS AVE
BANGOR, ME 04401
Dietitian, Registered
103 TEXAS AVE
BANGOR, ME 04401
Occupational Therapist
103 TEXAS AVE
BANGOR, ME 04401
Occupational Therapist
103 TEXAS AVE
BANGOR, ME 04401
Speech-Language Pathologist
103 TEXAS AVE
BANGOR, ME 04401
Occupational Therapist
103 TEXAS AVE
BANGOR, ME 04401
Occupational Therapy Assistant
103 TEXAS AVE
BANGOR, ME 04401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366431694, enumerated as an "organization" on October 19, 2005.

The provider is located at 103 TEXAS AVE BANGOR, ME 04401 and the phone number is (207) 947-4557.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to verify.