COUNTRY VILLAGE ESTATES L.L.C.
NPI 1457507972
Assisted Living Facility in Madawaska, ME

Active since August 15, 2008CLIA 20D1101099 · Waiver
260 DUGAL DRIVE, MADAWASKA, ME 04756(207) 728-3570(207) 728-4475 Get Directions Write a Review

NPPES record last updated: August 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Country Village Estates L.l.c. NPPES

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

COUNTRY VILLAGE ESTATES L.L.C. (NPI 1457507972) is a healthcare organization registered as an assisted living facility in Madawaska, Maine and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through June 18, 2027 and lists Louis George Dugal, Administrator, as its authorized official.

NPPES Registry Identity

NPI1457507972
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOUNTRY VILLAGE ESTATES L.L.C.
Location Address260 DUGAL DRIVEMadawaska, ME 04756
Mailing Address260 Dugal DriveMadawaska, ME 04756 · (207) 728-3570 · Fax (207) 728-4475
Fax(207) 728-4475
Organization SubpartNo
Authorized OfficialLouis George DugalAdministrator · (207) 728-3570
Enumeration DateAugust 15, 2008
NPI 1457507972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in ME · ALLS3139
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.
260 DUGAL DRIVE, Madawaska, ME 04756

Other Identifiers 1

Medicaid433013600ME

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 20D1101099

Country Village Estates LLC · Madawaska, ME
Active · expires Jun 18, 2027
CLIA Number20D1101099
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorLouis G. Dugal
Laboratory Phone(207) 728-3570
Laboratory LocationCountry Village Estates LLC260 Dugal Drive, Madawaska, ME 04756
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 Country Village Estates L.L.C.'s NPI number?

The NPI number for Country Village Estates L.L.C. is 1457507972. It was assigned to this organization in the NPPES registry on August 15, 2008.

Where is Country Village Estates L.L.C. located?

Country Village Estates L.L.C. is located at 260 Dugal Drive, Madawaska, ME 04756. The listed phone number is (207) 728-3570.

What is Country Village Estates L.L.C.'s specialty?

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

Does Country Village Estates L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D1101099) is associated with this NPI, valid through June 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Country Village Estates L.L.C. was last updated on August 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.