RONALD PHILLIP SMALL (NPI# 1194058313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194058313 |
| Entity Type | Individual |
| Full Name | RONALD PHILLIP SMALL |
| Practice Address |
316 Main St Corinth ME 04427-3031 |
| Mailing Address |
Po Box 129 Corinth ME 04427-0129 |
| Practice Telephone | 2072853281 |
| Mailing Telephone | 2072853281 |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2009-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | ALLS3410 | ME | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 200550000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174500722 | Ronald J Small | Podiatrist | 104 W Cheltenham Ave, Philadelphia, PA 19120-1027 | 2005-12-26 |
| Street Address |
316 MAIN ST |
| City | CORINTH |
| State | ME |
| Zip Code | 04427-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073870408 | Lucille E. Potter | Massage Therapist | 284 Main Rd., Corinth, ME 04427 | 2012-04-23 |
| 1568589612 | James Arthur Berry II | Technician | 47 Cushman Road, Corinth, ME 04427 | 2007-03-23 |
| 1427261213 | Maine School Administrative District No. 64 | Local Education Agency (LEA) | 408 Main Street, Box 279, Corinth, ME 04427 | 2007-05-08 |
| 1639296783 | Victoria Anne Berry | Technician | 47 Cushman Road, Corinth, ME 04427 | 2007-03-23 |
| 1861537763 | Patricia Ann Dearborn | Specialist | 263 Main Rd, Corinth, ME 04427 | 2007-02-20 |
| 1831282763 | Penobscot Community Health Center | Clinic/Center | 284 Main St, Corinth, ME 04427 | 2006-10-02 |
| 1699211805 | Grant Enterprises | Assisted Living Facility | 15 Village Drive, Corinth, ME 04427-0015 | 2017-01-11 |
| 1063677722 | Choices | Foster Care Agency | 263 Main Street, Suite 1 Village Drive Estates, Corinth, ME 04427-0316 | 2008-07-22 |
| 1114153434 | Choices | Community/Behavioral Health | 263 Main St Ste 1, Corinth, ME 04427-3023 | 2009-06-01 |
| 1740418250 | Heidi M. Plourde, Lcpc Inc. | Counselor | 263 Main St, Suite 1, Corinth, ME 04427-3023 | 2009-06-24 |
| Find all providers in zip 04427 | ||||
| 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 | ||||
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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.