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MAGNOLIA JED PROUTY
NPI 1376356311
Assisted Living Facility in Bucksport, ME

Active since January 31, 2025
57 MAIN ST, BUCKSPORT, ME 04416(207) 902-1220(207) 902-1230 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Magnolia Jed Prouty NPPES

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

MAGNOLIA JED PROUTY (NPI 1376356311), doing business as Evergreen Assisted Living, Llc, is a healthcare organization registered as an assisted living facility in Bucksport, Maine and active in the NPI registry since January 2025. The organization lists Taylor Morris, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376356311
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMAGNOLIA JED PROUTY
Location Address57 MAIN STBucksport, ME 04416-4115
Mailing Address175 Exchange St Ste 240Bangor, ME 04401-7408
Phone(207) 902-1220
Fax(207) 902-1230
Organization SubpartNo
Authorized OfficialTaylor MorrisCeo · (207) 702-0144
Enumeration DateJanuary 31, 2025
NPPES CertifiedJanuary 31, 2025
✔ NPI 1376356311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
57 MAIN ST, Bucksport, ME 04416
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Other Names 1

Doing Business AsEvergreen Assisted Living, Llc

Other Providers at the Same Location NPPES

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

CHAMBERS REALTY LLC
Custodial Care Facility (Adult Care Home)
57 MAIN ST
BUCKSPORT, ME 04416
Hancock County (207) 902-1220

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 Magnolia Jed Prouty's NPI number?

The NPI number for Magnolia Jed Prouty is 1376356311. It was assigned to this organization in the NPPES registry on January 31, 2025. The provider is doing business as Evergreen Assisted Living, LLC.

Where is Magnolia Jed Prouty located?

Magnolia Jed Prouty is located at 57 Main St, Bucksport, ME 04416. The listed phone number is (207) 902-1220.

What is Magnolia Jed Prouty's specialty?

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

When was this NPI record last updated?

The NPPES record for Magnolia Jed Prouty was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.