DAWN OUELLETTE (NPI# 1184867590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184867590 |
| Entity Type | Organization |
| Organization Name | DAWN OUELLETTE |
| Practice Address |
13 South Brook Lane Eagle Lake ME 04739 |
| Practice Telephone | 2074444562 |
| Practice Fax Number | 2074444069 |
| Mailing Telephone | 2074444562 |
| Mailing Fax Number | 2074444069 |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |
| Authorized Official Name | DAWN M OUELLETTE (HOME PROVIDER) |
| Authorized Official Telephone | 2074444562 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 202220000 | 05 |
| Street Address |
13 SOUTH BROOK LANE |
| City | EAGLE LAKE |
| State | ME |
| Zip Code | 04739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558608893 | Parise Viel | Occupational Therapist | 3402 Aroostook Rd, Eagle Lake, ME 04739 | 2013-01-07 |
| 1467709675 | Rebecca Elliott Reeves | Dentist | 10 Carter St, Eagle Lake, ME 04739 | 2012-08-07 |
| 1073708947 | Jessica Haley | Social Worker | 3388 Aroostook Road, Eagle Lake, ME 04739 | 2007-09-13 |
| 1386716298 | Joyia Elizabeth Cyr | Physical Therapy Assistant | 37 Carter Street, Eagle Lake, ME 04739 | 2006-11-15 |
| 1063989929 | Denise Raymond | Social Worker | 5 Carter Street, Eagle Lake, ME 04739 | 2018-10-30 |
| 1831593698 | Kaitlin Perkins | Occupational Therapist | 3402 Aroostook Rd, Eagle Lake, ME 04739 | 2014-10-22 |
| 1730529454 | Daren Dionne | Occupational Therapy Assistant | 3402 Aroostook Rd, Eagle Lake, ME 04739 | 2013-06-26 |
| 1033372636 | Sharon M. Chasse | Physical Therapist | 3388 Aroostook Road, Eagle Lake, ME 04739 | 2008-07-03 |
| 1477625382 | Tina M Saucier I | Physical Therapist | 37 Carter Street, Eagle Lake, ME 04739 | 2006-11-15 |
| 1477920080 | Lynne Pelletier | Registered Nurse | 24 Simard Lane, Eagle Lake, ME 04739-0307 | 2015-08-31 |
| Find all providers in zip 04739 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | EAGLE LAKE |
| Zip Code | 04739 |
Please comment or provide details below to improve the information on DAWN OUELLETTE.
| 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.