INDEPENDENCE ASSOCIATION, INC (NPI# 1023169976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023169976 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE ASSOCIATION, INC |
| Practice Address |
87 Baribeau Dr Brunswick ME 04011-3229 |
| Practice Telephone | 2077254371 |
| Practice Fax Number | 2077251416 |
| Mailing Telephone | 2077254371 |
| Mailing Fax Number | 2077251416 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES PIERCE (CEO EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2077254371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346391901 | Independence Association, Inc | Day Training, Developmentally Disabled Services | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-12 |
| 1568513315 | Independence Association, Inc | Case Management | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
| 1477604221 | Independence Association, Inc | Community/Behavioral Health | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
| 1386795136 | Independence Association, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
| Street Address |
87 BARIBEAU DR |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-3229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346391901 | Independence Association, Inc | Day Training, Developmentally Disabled Services | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-12 |
| 1568513315 | Independence Association, Inc | Case Management | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
| 1477604221 | Independence Association, Inc | Community/Behavioral Health | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
| 1386795136 | Independence Association, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617477 | Compass Bridges LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Arrowhead Dr, Brunswick, ME 04011-7420 | 2019-12-26 |
| 1619519709 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 516 Freedom Trl, Brunswick, GA 31525-4712 | 2019-10-10 |
| 1750672242 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6055 New Jesup Hwy, Brunswick, GA 31523-1629 | 2011-05-02 |
| 1306970207 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 727 Pine Haven Circle, Brunswick, GA 31520 | 2007-03-15 |
| 1902939325 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Frazier Street, Brunswick, GA 31525 | 2007-03-14 |
| 1124151980 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Baybridge Dr, Brunswick, GA 31525-1818 | 2007-03-13 |
| 1609909498 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Frazier Road, Brunswick, GA 31525 | 2007-03-13 |
| 1306979000 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Hidden Lakes Drive, Brunswick, GA 31525 | 2007-03-13 |
| 1568500585 | Pathways of Maine, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Burbank Ave, Brunswick, ME 04011-2878 | 2007-02-02 |
| 1255606810 | Gateway Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2012-03-15 |
| Find all providers in BRUNSWICK | ||||
Please comment or provide details below to improve the information on INDEPENDENCE ASSOCIATION, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.