OrganizationActive
Magnolia Jed Prouty
NPI 1376356311 · Assisted Living Facility · Bucksport, ME
Magnolia Jed Prouty is a Assisted Living Facility organization in Bucksport, ME (NPI 1376356311).
Provider details
- NPI number
- 1376356311
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Taylor Morris, Ceo(207) 702-0144
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
57 Main St
Bucksport, ME 04416-4115
Phone: (207) 902-1220
Fax: (207) 902-1230
Street-level locationGet directions
Mailing address
175 Exchange St Ste 240
Bangor, ME 04401-7408
Other names (DBA / former)
- Doing business as
- Evergreen Assisted Living, LLC
Registry dates
- Enumerated
- 2025-01-31
- Last updated
- 2025-01-31
- Certified
- 2025-01-31
Frequently asked questions
- What is Magnolia Jed Prouty's NPI number?
- Magnolia Jed Prouty's National Provider Identifier (NPI) is 1376356311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Jed Prouty?
- Magnolia Jed Prouty is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Magnolia Jed Prouty located?
- Magnolia Jed Prouty's practice location on file with NPPES is 57 Main St, Bucksport, ME 04416-4115.
- What is Magnolia Jed Prouty's phone number?
- The practice phone number listed in the NPPES registry for Magnolia Jed Prouty is (207) 902-1220.
- Who is the authorized official for Magnolia Jed Prouty?
- The authorized official listed on Magnolia Jed Prouty's NPPES record is Taylor Morris, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Jed Prouty's NPI active?
- Yes — Magnolia Jed Prouty's NPI (1376356311) is active in the NPPES registry as of the last update on 2025-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.