Seaport Village Skilled Nursing Center Llc
Speech-language Pathologist
19 General Moore Way, Ellsworth
Maine, 04605-1806
207-667-9336 Maps & DirectionsSeaport Village Skilled Nursing Center Llc is a outpatient physical therapy center in
Ellsworth, Maine. It is situated at 19 General Moore Way, Ellsworth and its contact number is 207-667-9336. The authorized person of Seaport Village Skilled Nursing Center Llc is
Kenneth Bowden
who is Ceo of the center and their contact number is
207-874-2700. Primary license number for Seaport Village Skilled Nursing Center Llc is
36555 () in Maine.
Seaport Village Skilled Nursing Center Llc Center The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Complete Profile:
Seaport Village Skilled Nursing Center Llc Center speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Specialization: | Speech-language Pathologist |
| Address: | 19 General Moore Way, Ellsworth,
Maine, 04605-1806 |
| Phone: | 207-667-9336 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this Center are as below. Person's position and contact details are also mentioned below.
| Name: | Kenneth Bowden |
| Position: | Ceo |
| Contact Number: | 207-874-2700 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Seaport Village Skilled Nursing Center Llc Center are as mentioned below.
| NPI Number: | 1558351841 |
| NPI Enumeration Date: | 27 Oct, 2005 |
| NPI Last Update On: | 19 Nov, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Seaport Village Skilled Nursing Center Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Skilled Nursing Facility | 36555 | Maine | Primary | |
| Speech-language Pathologist | 36346 | Maine | Secondary | |
| Physical Therapy | 36346 | Maine | Secondary | |
| Occupational Medicine | 36346 | Maine | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the Center such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 104690000 | Medicaid | Maine | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Seaport Village Skilled Nursing Center Llc
19 General Moore Way,
Ellsworth, Maine |
| Zip: | 04605-1806 |
| Phone Number: | 207-667-9336 |
Patients can reach Seaport Village Skilled Nursing Center Llc at
19 General Moore Way, Ellsworth, Maine or can
call to book an appointment on 207-667-9336.
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.