QUALITY CARE ACCESS, LLC


Address: 22 Wayne St, Portland, ME 04102-2228
Phone: 8174204698

QUALITY CARE ACCESS, LLC (NPI# 1154948206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154948206
Entity Type Organization
Organization Name QUALITY CARE ACCESS, LLC
Practice Address 22 Wayne St
Portland
ME 04102-2228
Mailing Address 1321 Desert Barrel Dr
Fort Worth
TX 76177-2052
Practice Telephone 8174204698
Mailing Telephone 8174204698
Enumeration Date 2020-07-05
Last Update Date 2020-07-05
Authorized Official Name DR. JUSTIN NSENGA (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8174204698
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 22 WAYNE ST
City PORTLAND
State ME
Zip Code 04102-2228

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720602964 Ci Yen Joanna Man Student in an Organized Health Care Education/Training Program 190 Park Ave., Portland, ME 04102 2020-06-03
1841811338 Abby Zarotny Sahagian Nurse Anesthetist, Certified Registered Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 2020-05-06
1124656863 Zachary Bernard Tillett Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall St., Portland, ME 04102 2020-03-30
1215564323 Joshua Allen Swenson Student in an Organized Health Care Education/Training Program 33 Bramhall St, Portland, ME 04102 2020-03-26
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Emergency Medicine Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
Find all providers in zip 04102

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1578069415 Outfront Jb Family Residential Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 41 Front St, Portland, ME 04103-4951 2018-03-31
1023356391 Trust Home Healthcare LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 10706 Sw Capitol Hwy Apt 58, Portland, OR 97219-6880 2013-01-22
1700116639 Care and Hope Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2 Horton Pl # 1, Portland, ME 04102-3310 2009-12-25
1427414473 Seneca Behavioral Health, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 68 Bishop St, Portland, ME 04103-2681 2016-01-06
1568639078 Albertina Kerr Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 722 Ne 162nd Ave, Portland, OR 97230-5760 2008-05-14

Providers in the same taxonomy and state

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
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
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
1568025658 Hopestone LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 49 Cushman Rd, Winslow, ME 04901-7212 2019-04-15
1023558012 Tiffany Norton Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 518 N Clary Rd, Jefferson, ME 04348-4067 2017-02-24
1225497902 Freedom First Support Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5 Warren Ter, Winslow, ME 04901-7612 2016-02-23
1063818367 Quality Care Group Homes Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 532 Hammond St, Bangor, ME 04401-4544 2014-11-13
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Competitor

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City PORTLAND
Zip Code 04102

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Dataset Information

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.

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