Provider Demographics
NPI:1912132267
Name:ONH INC
Entity type:Organization
Organization Name:ONH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:BA,MLA
Authorized Official - Phone:207-733-4374
Mailing Address - Street 1:2 SOUTH STREET
Mailing Address - Street 2:
Mailing Address - City:LUBEC
Mailing Address - State:ME
Mailing Address - Zip Code:04652
Mailing Address - Country:US
Mailing Address - Phone:207-733-4374
Mailing Address - Fax:207-733-4429
Practice Address - Street 1:2 SOUTH STREET
Practice Address - Street 2:
Practice Address - City:LUBEC
Practice Address - State:ME
Practice Address - Zip Code:04652
Practice Address - Country:US
Practice Address - Phone:207-733-4374
Practice Address - Fax:207-733-4429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1993310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME108230001Medicaid