OrganizationActive
Family Enterprises
NPI 1124771522 · Assisted Living Facility · Bangor, ME
Provider details
- NPI number
- 1124771522
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Irene Johnson, Owner/Administrator(207) 460-9303
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
532 Union St
Bangor, ME 04401-3751
Phone: (207) 907-4450
Fax: (888) 460-3866
Street-level locationGet directions
Mailing address
510 Lagrange Rd
Bradford, ME 04410-3226
Registry dates
- Enumerated
- 2022-01-27
- Last updated
- 2022-01-27
- Certified
- 2022-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.