BORDEN COTTAGE TREATMENT FACILITY, LLC
NPI 1619651213
Preventive Medicine - Addiction Medicine in Camden, ME

Active since June 14, 2023CLIA 20D2297024 · Waiver
235 BAY VIEW ST, CAMDEN, ME 04843(207) 236-3595 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Borden Cottage Treatment Facility, Llc NPPES

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

BORDEN COTTAGE TREATMENT FACILITY, LLC (NPI 1619651213) is a healthcare organization registered as an addiction medicine in Camden, Maine and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Tom Rodman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1619651213
Entity TypeOrganization
Primary Taxonomy2083A0300X
Legal Business NameBORDEN COTTAGE TREATMENT FACILITY, LLC
Location Address235 BAY VIEW STCamden, ME 04843-2251
Mailing AddressPo Box 799Camden, ME 04843-0799
Organization SubpartNo
Authorized OfficialTom RodmanChief Executive Officer · (207) 236-3595
Enumeration DateJune 14, 2023
NPPES CertifiedJune 13, 2023
NPI 1619651213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedRehabilitation UnitTaxonomy 273Y00000X
235 BAY VIEW ST, Camden, ME 04843

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 20D2297024

Borden Cottage Treatment Facility, LLC · Camden, ME
Active · expires Jan 9, 2028
CLIA Number20D2297024
Laboratory TypeResidential
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorKatherine Ervin
Laboratory Phone(207) 230-8210
Laboratory LocationBorden Cottage Treatment Facility, LLC235 Bay View Street, Camden, ME 04843
CLIA data matches this NPI record on: Address Name
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 Borden Cottage Treatment Facility, LLC's NPI number?

The NPI number for Borden Cottage Treatment Facility, LLC is 1619651213. It was assigned to this organization in the NPPES registry on June 14, 2023.

Where is Borden Cottage Treatment Facility, LLC located?

Borden Cottage Treatment Facility, LLC is located at 235 Bay View St, Camden, ME 04843. The listed phone number is (207) 236-3595.

What is Borden Cottage Treatment Facility, LLC's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Does Borden Cottage Treatment Facility, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2297024) is associated with this NPI, valid through January 9, 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 Borden Cottage Treatment Facility, LLC was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.