1. Home
  2. Directory
  3. Maine
  4. Jackman
  5. Intermediate Care Facility Mentally Retarded
  6. NPI Profile

NORTHLAND LIVING CENTER
NPI 1871653949
Intermediate Care Facility, Intellectual Disabilities in Jackman, ME

Active since December 11, 2006CLIA 20D0649607 · Waiver
382 MAIN ST, JACKMAN, ME 04945(207) 668-3221(207) 668-4159 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northland Living Center NPPES

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

NORTHLAND LIVING CENTER (NPI 1871653949) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Jackman, Maine and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Glen G Cyr, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1871653949
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameNORTH COUNTRY ASSOCIATES, INC
Location Address382 MAIN STJackman, ME 04945-5214
Mailing Address179 Lisbon St, 2nd FloorLewiston, ME 04240-7248 · (207) 786-3554 · Fax (207) 786-8507
Phone(207) 668-3221
Fax(207) 668-4159
Organization SubpartNo
Authorized OfficialGlen G CyrVp Of Finance · (207) 786-3554
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1871653949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in ME · 36354
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
382 MAIN ST, Jackman, ME 04945
Open in Google Maps ↗

Other Names 1

Doing Business AsNorthland Living Center

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 20D0649607

Northland Living Center · Jackman, ME
Active · expires Aug 31, 2026
CLIA Number20D0649607
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRebecca Begin Rn
Laboratory Phone(207) 668-3221
Laboratory LocationNorthland Living Center382 Main Street, Jackman, ME 04945
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 North Country Associates, Inc's NPI number?

The NPI number for North Country Associates, Inc is 1871653949. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Northland Living Center.

Where is North Country Associates, Inc located?

North Country Associates, Inc is located at 382 Main St, Jackman, ME 04945. The listed phone number is (207) 668-3221.

What is North Country Associates, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does North Country Associates, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D0649607) is associated with this NPI, valid through August 31, 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 North Country Associates, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.