NORTHBRIDGE AVITA WELLS II LLC
NPI 1417414152
Alzheimer Center (Dementia Center) in Wells, ME

Q: What is Northbridge Avita Wells II LLC's NPI number?

The NPI number for Northbridge Avita Wells II LLC is 1417414152. It was assigned to this organization in the NPPES registry on March 1, 2019. The provider is doing business as Avita of Wells.

Q: What is Northbridge Avita Wells II LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Active since March 01, 2019CLIA 20D2194539 · Waiver

86 SANFORD RD, WELLS, ME 04090(207) 646-3444(207) 646-5444 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Northbridge Avita Wells Ii Llc NPPES

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

NORTHBRIDGE AVITA WELLS II LLC (NPI 1417414152), doing business as Avita Of Wells, is a healthcare organization registered as an alzheimer center (dementia center) in Wells, Maine and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through September 30, 2026 and lists Wendy Nowokunski, President, as its authorized official.

NPPES Registry Identity

NPI1417414152

Entity TypeOrganization

Primary Taxonomy311500000X

Legal Business NameNORTHBRIDGE AVITA WELLS II LLC

Location Address86 SANFORD RDWells, ME 04090-5532

Mailing Address86 Sanford RdWells, ME 04090-5532 · (207) 646-3444 · Fax (207) 646-5444

Phone(207) 646-3444

Fax(207) 646-5444

Organization SubpartYes

Authorized OfficialWendy NowokunskiPresident · (781) 238-4856

Enumeration DateMarch 1, 2019

✔ NPI 1417414152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities

Taxonomy Code311500000X

Definition

A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

86 SANFORD RD, Wells, ME 04090

Open in Google Maps ↗

Other Names 1

Doing Business AsAvita Of Wells

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 20D2194539

Northbridge Avita Wells II LLC · Wells, ME

Active · expires Sep 30, 2026

CLIA Number20D2194539

Laboratory TypeAssisted Living Facility

Certificate Effective DateOctober 1, 2024

Certificate Expiration DateSeptember 30, 2026

Laboratory DirectorEra M. Gingras

Laboratory Phone(207) 646-3444

Laboratory LocationNorthbridge Avita Wells II LLC86 Sanford, Wells, ME 04090

CLIA data matches this NPI record on: Address Name Phone

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 Northbridge Avita Wells II LLC's NPI number?

The NPI number for Northbridge Avita Wells II LLC is 1417414152. It was assigned to this organization in the NPPES registry on March 1, 2019. The provider is doing business as Avita of Wells.

Where is Northbridge Avita Wells II LLC located?

Northbridge Avita Wells II LLC is located at 86 Sanford Rd, Wells, ME 04090. The listed phone number is (207) 646-3444.

What is Northbridge Avita Wells II LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

Does Northbridge Avita Wells II LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2194539) is associated with this NPI, valid through September 30, 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 Northbridge Avita Wells II LLC was last updated on March 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.