CHARLOTTE WHITE CENTER (NPI# 1154497030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154497030 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE WHITE CENTER |
| Other Organization Name | STARKS HOUSE |
| Practice Address |
9 Paul St Dover Foxcroft ME 04426-1050 |
| Mailing Address |
572 Bangor Rd Dover Foxcroft ME 04426-3373 |
| Practice Telephone | 2075642464 |
| Practice Fax Number | 2075642404 |
| Mailing Telephone | 2075642464 |
| Mailing Fax Number | 2075642404 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2008-11-12 |
| Authorized Official Name | MR. RICHARD M BROWN (CEO) |
| Authorized Official Telephone | 2075642464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 164850001 | 05 |
| Other Name | Type Code |
|---|---|
| Starks House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588738082 | Charlotte White Center | Contractor | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2006-11-17 |
| 1588737985 | Charlotte White Center | Residential Treatment Facility, Emotionally Disturbed Children | 487 Garland Rd, Dexter, ME 04930-2652 | 2006-11-16 |
| 1811315062 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2014-04-04 |
| 1497002943 | Charlotte White Center | Custodial Care Facility | 487 Garland Rd, Dexter, ME 04930-2652 | 2012-08-14 |
| 1942526181 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2010-04-13 |
| 1003059049 | Charlotte White Center | Custodial Care Facility | 572 Bangor Rd, Dover Foxcroft, ME 04426-3373 | 2009-04-07 |
| 1649337197 | Charlotte White Center | Clinic/Center | 59 River St, Dover Foxcroft, ME 04426-1322 | 2007-01-03 |
| 1063588606 | Charlotte White Center | Day Training, Developmentally Disabled Services | 572 Bangor Rd, Dover Foxcroft, ME 04426 | 2006-11-27 |
| 1447325733 | Charlotte White Center | Community/Behavioral Health | 572 Bangor Rd, Dover Foxcroft, ME 04426 | 2006-11-21 |
| Street Address |
9 PAUL ST |
| City | DOVER FOXCROFT |
| State | ME |
| Zip Code | 04426-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710429691 | Rachel Fillmore | Counselor | 121 Summer St, Dover Foxcroft, ME 04426 | 2016-11-09 |
| 1215256763 | Kristen Fowles Goddard | Genetic Counselor, MS | 897 West Main Street, Dover-foxcroft, ME 04426 | 2010-05-24 |
| 1407088131 | Kylie Jalene Spratt | Speech-Language Pathologist | 50 Pine Crest Drive, Dover Foxcroft, ME 04426 | 2009-08-13 |
| 1730323205 | Two Rivers Child Development Services | Occupational Therapist | 1092a Douty Hill Road, Dover Foxcroft, ME 04426 | 2009-04-28 |
| 1548463623 | Mrh Corp. | General Acute Care Hospital | 897 W Main Street, Dover Foxcroft, ME 04426 | 2007-06-07 |
| 1992845101 | Elizabeth A. Carolin | Social Worker | 572 Bangor Rd., Dover Foxcroft, ME 04426 | 2007-02-07 |
| 1679583678 | Richard Clarke Macdonald | General Practice | 3 Forest St, Dover-foxcroft, ME 04426 | 2006-08-09 |
| 1659327187 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 1073 W Main St, Suite 9, Dover Foxcroft, ME 04426 | 2006-05-26 |
| 1730143439 | Sheila M Miller | Optometrist | 31 North St, Dover Foxcroft, ME 04426 | 2006-04-12 |
| 1588625602 | Howard A Sleeper | Optometrist | 5 Monument Square Ln, Dover Foxcroft, ME 04426 | 2006-03-29 |
| Find all providers in zip 04426 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477068757 | Cornerstones of Maine LLC | Community Based Residential Treatment Facility, Mental Illness | 20 Fairfield Hill Rd, Kennebunkport, ME 04046-5222 | 2017-12-07 |
| 1245528314 | 63 Washington Street | Community Based Residential Treatment Facility, Mental Illness | 63 Washington St, Camden, ME 04843-1581 | 2011-07-11 |
| 1952635039 | New Communities, Inc. | Community Based Residential Treatment Facility, Mental Illness | 109 Davis Avenue, Auburn, ME 04210 | 2009-09-23 |
| 1427382522 | New Communities, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1605 Essex Street, Bangor, ME 04401 | 2009-09-23 |
| 1154557452 | The Opportunity Alliance | Community Based Residential Treatment Facility, Mental Illness | 1329 Broadway, South Portland, ME 04106-4110 | 2009-06-02 |
| 1629218409 | Bonnie Rae Condon | Community Based Residential Treatment Facility, Mental Illness | 3101 Portage Rd, Portage Lake, ME 04768-3111 | 2009-03-06 |
| 1952548943 | North Star Farm Inc. | Community Based Residential Treatment Facility, Mental Illness | 112 Thyngs Mill Road, No Waterboro, ME 04061 | 2009-01-13 |
| 1942411319 | Northern Maine General | Community Based Residential Treatment Facility, Mental Illness | 3400 Aroostook Rd, Eagle Lake, ME 04739-0310 | 2007-05-25 |
| 1932262920 | Sunrise Opportunities | Community Based Residential Treatment Facility, Mental Illness | 4 Harbor Lane, Milbridge, ME 04658 | 2006-12-19 |
| 1972666337 | Sunrise Opportunities | Community Based Residential Treatment Facility, Mental Illness | 4 Clark St, Eastport, ME 04631-1036 | 2006-12-18 |
| Find all providers with the same taxonomy | ||||
| City | DOVER FOXCROFT |
| Zip Code | 04426 |
Please comment or provide details below to improve the information on CHARLOTTE WHITE CENTER.
| 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.