DEXTER MANOR ASSOCIATES — NPI 1487640520 (Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) in DEXTER, ME)

CMS-1500 Box 24J / 33a • NPI

1487640520

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

314000000X (CMS A1[8])

Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)

Box 32 Service Location & ZIP+4

64 PARK ST, DEXTER, ME, 04930-1470

✓ 9-Digit EDI 837 ZIP+4 (04930-1470)

Practice Phone & Referral Fax

(207) 924-5516

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1487640520 (DEXTER MANOR ASSOCIATES) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1487640520` (NPI-2 Organization / Facility)
Provider / Legal Name	DEXTER MANOR ASSOCIATES
Plain-English Specialty	Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF) NUCC Code: `314000000X` (Skilled Nursing Facility)
Certifying / Licensing Body	CMS Five-Star Quality Rating System / State Department of Health
Practice Location Address	64 PARK ST, DEXTER, ME, 04930-1470
Practice Telephone / Fax	Tel: (207) 924-5516
Administrative Mailing Address	64 PARK ST, DEXTER, ME, 04930-1470
Enumeration & Last Sync	Enumerated: 2005-09-23 \| CMS Record Updated: 2018-02-28
Authorized Official	KENNETH BOWDEN (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

64 PARK ST, DEXTER, ME, 04930-1470

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Plain-English Taxonomy & CMS Crosswalk (314000000X)

What Does Taxonomy Code 314000000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 314000000X translates to:
"Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A1[8] (Skilled Nursing Facility)
Certifying / Accrediting Authority: CMS Five-Star Quality Rating System / State Department of Health
Clinical Scope: Inpatient rehabilitation and 24-hour skilled nursing care following major surgery, stroke, or prolonged hospitalization.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DEXTER MANOR ASSOCIATES)

Typical CPT / Diagnostic Procedures:

24-Hour Skilled Nursing Supervision, Enteral Nutrition & Pressure Ulcer Prevention
Post-Acute Orthopedic, Cardiac & Neurological Inpatient Rehabilitation

Common Therapeutic Classes:

Chronic Disease Maintenance Regimens, Analgesics & Thromboprophylaxis

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`235Z00000X` — Speech-Language Pathologist, Plain English: Licensed & Credentialed Speech, Language and Hearing Service Providers	State: ME \| License: `36344` \| Primary: Secondary
`261QP2000X` — Clinic/Center, Physical Therapy Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: ME \| License: `36344` \| Primary: Secondary
`261QX0100X` — Clinic/Center, Occupational Medicine Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: ME \| License: `36344` \| Primary: Secondary
`314000000X` — Skilled Nursing Facility Plain English: Licensed Skilled Nursing & Inpatient Post-Acute Rehabilitation Facility (SNF)	State: ME \| License: `36625` \| Primary: Yes (Primary)

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DEXTER MANOR ASSOCIATES (NPI #1487640520)