INFINITE POTENTIAL, LLC (NPI# 1124381157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124381157 |
| Entity Type | Organization |
| Organization Name | INFINITE POTENTIAL, LLC |
| Practice Address |
41 Pine Hill Rd Casco ME 04015-4138 |
| Practice Telephone | 2076502271 |
| Practice Fax Number | 2072211384 |
| Mailing Telephone | 2076502271 |
| Mailing Fax Number | 2072211384 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |
| Authorized Official Name | MRS. VIRGINIA RUSSELL MUJICA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2076502271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | ME | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | INFINITE POTENTIAL, LLC | 180 Offord Cir, Jacksonville, OR 97530 |
| Street Address |
41 PINE HILL RD |
| City | CASCO |
| State | ME |
| Zip Code | 04015-4138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043491517 | Virginia Russell Mujica | Speech-Language Pathologist | 41 Pine Hill Rd, Casco, ME 04015-4138 | 2007-11-26 |
| 1346552965 | Ecsel Speech & Language Services | Clinic/Center | 41 Pine Hill Rd, Casco, ME 04015-4138 | 2010-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821407693 | Joyelle Martin | Social Worker | 1002 Meadow Rd, Casco, ME 04015 | 2014-08-06 |
| 1114299252 | Leanne Marie Inman | Social Worker | 1002 Meadow Road, Casco, ME 04015 | 2012-02-06 |
| 1861628208 | The Casco Inn Residential Care | Assisted Living Facility | 434 Roosevelt Trail, Casco, ME 04015 | 2009-05-29 |
| 1548495146 | Country Village Assisted Living | Assisted Living Facility | 960 Meadow Rd, Casco, ME 04015 | 2009-05-27 |
| 1841403722 | M.s.a.d. #61 | Case Management | 877 Poland Spring Rd, Casco, ME 04015 | 2007-05-08 |
| 1669685442 | M.s.a.d. #61 | Day Training, Developmentally Disabled Services | 877 Poland Spring Rd., Casco, ME 04015 | 2007-05-08 |
| 1730145251 | Town of Casco | Ambulance | 637 Meadow Rd, Casco, ME 04015 | 2006-04-24 |
| 1831598267 | Misty Marston | Social Worker | 1002 Meadow Rd, Casco, ME 04015 | 2014-08-21 |
| 1154477222 | Maine Surgical Assistants, PC | Specialist/Technologist, Other | 37 Whittier Lane, Casco, ME 04015-0343 | 2007-01-25 |
| 1689811465 | Momentum Inc | Day Training, Developmentally Disabled Services | 1059 Meadow Rd, Casco, ME 04015-3038 | 2009-01-15 |
| Find all providers in zip 04015 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689811465 | Momentum Inc | Day Training, Developmentally Disabled Services | 1059 Meadow Rd, Casco, ME 04015-3038 | 2009-01-15 |
| 1669685442 | M.s.a.d. #61 | Day Training, Developmentally Disabled Services | 877 Poland Spring Rd., Casco, ME 04015 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285907386 | Employment Connections Maine LLC | Day Training, Developmentally Disabled Services | 9 Fengler Rd, Scarborough, ME 04074-8490 | 2012-02-21 |
| 1285918383 | Lee Todd Lacks | Day Training, Developmentally Disabled Services | 9 Lemont Ave, South Portland, ME 04106-5717 | 2011-10-06 |
| 1851601421 | Bolduc Employment Support & Training, LLC | Day Training, Developmentally Disabled Services | 175 Lancaster Street, Suite 218a, Portland, ME 04101 | 2010-10-18 |
| 1558671156 | Progressions LLC | Day Training, Developmentally Disabled Services | 58 Lower Barley St, Lebanon, ME 04027 | 2010-10-15 |
| 1831418128 | Mainehealth | Day Training, Developmentally Disabled Services | 39 Forest Ave, Portland, ME 04101 | 2010-05-26 |
| 1033433461 | Sargent Family Farm, LLC | Day Training, Developmentally Disabled Services | 11 Crazywater Creek Rd, Limington, ME 04049-3013 | 2010-03-14 |
| 1033447131 | Langley Vocational Services | Day Training, Developmentally Disabled Services | 16 Hollingsworth St, Winslow, ME 04901-6742 | 2009-12-01 |
| 1427384957 | Career Consultant Company | Day Training, Developmentally Disabled Services | 140 Turner St, Canton, ME 04221-3045 | 2009-10-18 |
| 1851625834 | St John Valley Associates, Inc. | Day Training, Developmentally Disabled Services | 291 Newberry Dr, Suite 105, Madawaska, ME 04756-1219 | 2009-09-24 |
| 1427286350 | E. Terrance Smith | Day Training, Developmentally Disabled Services | 62 Melbourne Street, Portland, ME 04101-2727 | 2009-06-30 |
| 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.