Coastal Manor Nursing Home – Nursing Facility/Intermediate Care Facility, NPI 1811990757

Coastal Manor Nursing Home is a healthcare provider. based in Yarmouth, Maine. specializing in Nursing Facility/Intermediate Care Facility. The organization holds a License No. 36175 (ME). The NPI Number for Coastal Manor Nursing Home is 1811990757

Main info

Organization
Name
Coastal Manor Nursing Home
NPI
1811990757
Phone
(207) 846-5013
Address
20 W MAIN ST
Authorized Official
MR. OREY F GADWAY ADMINISTRATOR
Enumeration Date
24 May 2005
Last Update Date
21 July 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:21State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Coastal Manor Nursing Home

  • 20, West Main Street, Yarmouth, Cumberland County, Maine, 04096, United States

    YARMOUTH, ME 040968412

    Phone: (207) 846-5013

    Fax: (207) 846-2252

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20150623000092OSkilled Nursing FacilityMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04096)

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Reviews

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Frequently asked questions

What NPI should I save for Coastal Manor Nursing Home?
Save NPI 1811990757 if you need a stable reference for Coastal Manor Nursing Home.
Is Coastal Manor Nursing Home's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is Coastal Manor Nursing Home?
The page reflects Nursing Facility/Intermediate Care Facility for Coastal Manor Nursing Home. Clinical services aligned with this taxonomy classification.
What location metadata exists for Coastal Manor Nursing Home?
The page summarizes Yarmouth, Maine for Coastal Manor Nursing Home; expand the address list for detail.
How can I contact Coastal Manor Nursing Home?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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