MELISSA ROSE (NPI# 1023506284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023506284 |
| Entity Type | Individual |
| Full Name | MELISSA ROSE |
| Credential | DSP |
| Practice Address |
46 Neal St Gardiner ME 04345 |
| Mailing Address |
46 Neal St Gardiner ME 04345-2005 |
| Practice Telephone | 2075574686 |
| Mailing Telephone | 2075574686 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841852407 | Melissa Lynn Rose | Licensed Practical Nurse | Pcn, 1960 Thompson Dr, Sedro Wooley, WA 98284 | 2019-07-03 |
| 1487846846 | Melissa Ann Carnes Rose | Audiologist | 57 Tamarack Ln, Fairmont, WV 26554-3486 | 2007-08-09 |
| 1013082007 | Melissa Rose | Speech-Language Pathologist | 4239 Vienna Way, Marietta, GA 30062 | 2006-11-22 |
| 1093111924 | Melissa Smith Rose | Nurse Practitioner | 702 S Main St, Randleman, NC 27317-2102 | 2014-11-04 |
| 1932528809 | Melissa Rose | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2014-04-08 |
| 1225302839 | Melissa Ann Rose | Nurse Practitioner | 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805-1951 | 2012-02-29 |
| 1033441571 | Melissa Grace Rose | Registered Nurse | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2010-02-09 |
| 1730323031 | Melissa Lobel Rose | Pediatrics | 5645 Main St, New York-presbyterian/queens, Flushing, NY 11355-5045 | 2009-04-30 |
| 1912192535 | Melissa June Rose | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2007-09-06 |
| 1558488148 | Melissa R Rose | Physical Therapist | 301 Fisher St, Biloxi, MS 39534-2508 | 2007-03-26 |
| Street Address |
46 NEAL ST |
| City | GARDINER |
| State | ME |
| Zip Code | 04345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568797561 | New Communities, Inc. | Assisted Living Facility | 13 Plaisted Street, Gardiner, ME 04345 | 2009-10-08 |
| 1548499486 | Wholistic Home Care of Maine | Home Health | 37 Brunswick Ave., Suite 1, Gardiner, ME 04345 | 2009-07-14 |
| 1730318007 | Penny A. Purington | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23 Puringtons Lane, Gardiner, ME 04345 | 2009-07-08 |
| 1083877229 | Grace H Brace | Social Worker | 418 Water St, Gardomer, ME 04345 | 2008-07-08 |
| 1497885495 | Kim Lavallee | Social Worker | 139 Old North Road, West Gardiner, ME 04345 | 2007-03-07 |
| 1457374803 | Gardiner Family Chiropractic | Chiropractor | 90 Main Ave, Gardiner, ME 04345 | 2006-07-26 |
| 1699275420 | Bio-medical Applications of Maine, Inc. | Clinic/Center | 46 Summer St, Gardiner, ME 04345 | 2018-02-19 |
| 1285948166 | Sailesh Kumar Duvvuru | Pharmacist | 9 Spring St, Gardiner, ME 04345 | 2010-08-03 |
| 1073742037 | Penny Ann Purington | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23 Puringtons Lane, Gardiner, ME 04345 | 2009-07-10 |
| 1851585400 | Aurora Correia | Social Worker | 49 Middle St, Gardiner, ME 04345 | 2007-08-28 |
| Find all providers in zip 04345 | ||||
| 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 |
|---|---|---|---|---|
| 1730417957 | Melissa L Wight | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 73 Weeks Rd, Gardiner, ME 04345-6275 | 2009-11-29 |
| 1194874453 | Curtis Garfield Brown | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 556 River Ave, Gardiner, ME 04345-6425 | 2007-01-09 |
| 1063473866 | Uplift, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 Winter St, Gardiner, ME 04345-1905 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585591 | Assurance Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Gracelawn Rd Apt 3, Auburn, ME 04210-6557 | 2020-10-13 |
| 1033722236 | Maine Shared Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 715 Upper St, Turner, ME 04282-3808 | 2020-08-26 |
| 1730797465 | Dirigo Support Professionals LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 176 Broad St Apt 1, Auburn, ME 04210-5610 | 2020-07-20 |
| 1154948206 | Quality Care Access, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Wayne St, Portland, ME 04102-2228 | 2020-07-05 |
| 1558987438 | Moonlight Group Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 253 Lisbon Street, Lewiston, ME 04240-7704 | 2020-06-17 |
| 1629617477 | Compass Bridges LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Arrowhead Dr, Brunswick, ME 04011-7420 | 2019-12-26 |
| 1538705637 | Grace Support Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 86 Euclid Ave, Portland, ME 04103-1240 | 2019-11-23 |
| 1467097709 | Pine Peak Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1395 Congress St, Portland, ME 04102-2120 | 2019-11-11 |
| 1306480108 | Pine Peak Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Sara Ln, Portland, ME 04103-3622 | 2019-11-05 |
| 1821648650 | Advanced Care Solutions LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 88 Knox St, Lewiston, ME 04240-7406 | 2019-09-13 |
| Find all providers with the same taxonomy | ||||
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| 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.