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FREEPORT PLACE
NPI 1497997233
Assisted Living Facility in Freeport, ME

Active since March 25, 2009CLIA 20D2183000 · Waiver
4 OLD COUNTY RD, FREEPORT, ME 04032(207) 865-3500 Get Directions Write a Review

NPPES record last updated: March 25, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Freeport Place NPPES

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

FREEPORT PLACE (NPI 1497997233) is a healthcare organization registered as an assisted living facility in Freeport, Maine and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Kenneth Bowden, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497997233
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFREEPORT PLACE
Location Address4 OLD COUNTY RDFreeport, ME 04032-6231
Mailing Address4 Old County RdFreeport, ME 04032-6231 · (207) 865-3500
Phone(207) 865-3500
Organization SubpartNo
Authorized OfficialKenneth BowdenCeo · (207) 874-2700
Enumeration DateMarch 25, 2009
✔ NPI 1497997233 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 · 2103
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.
4 OLD COUNTY RD, Freeport, ME 04032
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Other Identifiers 1

Medicaid2103ME

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 20D2183000

Freeport Place · Freeport, ME
Active · expires Apr 27, 2028
CLIA Number20D2183000
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorEric S. Pooler
Laboratory Phone(207) 865-3500
Laboratory LocationFreeport Place4 Old Country Road, Freeport, ME 04032
CLIA data matches this NPI record on: 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 Freeport Place's NPI number?

The NPI number for Freeport Place is 1497997233. It was assigned to this organization in the NPPES registry on March 25, 2009.

Where is Freeport Place located?

Freeport Place is located at 4 Old County Rd, Freeport, ME 04032. The listed phone number is (207) 865-3500.

What is Freeport Place's specialty?

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

Does Freeport Place hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2183000) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Freeport Place was last updated on March 25, 2009. 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.