MANNA INC. (NPI# 1205273786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205273786 |
| Entity Type | Organization |
| Organization Name | MANNA INC. |
| Practice Address |
629 Main St Bangor ME 04401-6848 |
| Practice Telephone | 2079902870 |
| Mailing Telephone | 2079902870 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |
| Authorized Official Name | WILLIAM RAE (CEO) |
| Authorized Official Telephone | 2079902870 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | CAC4364 | ME | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649614728 | Manna Inc. | Community/Behavioral Health | 629 Main St, Bangor, ME 04401-6848 | 2013-04-19 |
| 1912090846 | Manna Inc. | Family Medicine | 1048 Union St Ste 5, Bangor, ME 04401-8601 | 2006-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MANNA INC | 1992 Brewer Ave, Eugene, OR 97401 |
| Indiana Business Entities | MANNA INC. | 1818 E. Co. Rd. 750 S., Versailles, IN 47042 |
| Street Address |
629 MAIN ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588647838 | David E.a. Presutte | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2005-11-21 |
| 1104267954 | Ronda Anderson | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2013-07-09 |
| 1649614728 | Manna Inc. | Community/Behavioral Health | 629 Main St, Bangor, ME 04401-6848 | 2013-04-19 |
| 1437442894 | Holly Ann Merchant | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2011-05-18 |
| 1780986315 | Jeremy Matthew Crockett | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2010-12-02 |
| 1316255706 | Casey E Harris | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2010-09-20 |
| 1568786499 | Amy Richard | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2010-03-22 |
| 1760665251 | Ardis L White | Counselor | 629 Main St, Bangor, ME 04401-6878 | 2007-12-07 |
| 1699962258 | Aimee Michelle Cyr | Counselor | 629 Main St, Bangor, ME 04401-6878 | 2007-09-27 |
| 1760497200 | Manna Inc | Clinic/Center | 629 Main St, Bangor, ME 04401-6848 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760942965 | Elijah House S.l.e | Substance Abuse Rehabilitation Facility | 40 Coyote Moon Trail, Bangor, CA 95914 | 2019-03-22 |
| 1275723371 | Outpatient Chemical Dependency Agency | Substance Abuse Rehabilitation Facility | 185 Harlow St, Bangor, ME 04401-9101 | 2007-07-26 |
| 1669008876 | New Start Recovery Solutions | Substance Abuse Rehabilitation Facility | 40 Coyote Moon Trail, Bangor, CA 95914 | 2020-03-19 |
| 1508254699 | Wellspring, Inc. | Substance Abuse Rehabilitation Facility | 98 Cumberland St, Bangor, ME 04401-5234 | 2014-12-26 |
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|---|---|---|---|---|
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| 1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
| 1144432907 | Serenity House, Inc. | Substance Abuse Rehabilitation Facility | 30 Mellen St, Portland, ME 04101-2110 | 2007-05-04 |
| 1063548436 | Milestone Foundation Inc | Substance Abuse Rehabilitation Facility | 65 India St, Portland, ME 04101-4209 | 2007-02-27 |
| 1396889374 | Milestone Foundation Inc | Substance Abuse Rehabilitation Facility | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2007-02-16 |
| 1912538430 | The Charlie Mike Project | Substance Abuse Rehabilitation Facility | 213 W Broadway, Lincoln, ME 04457-4001 | 2020-02-03 |
| 1730673088 | Pine Tree Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 17 Bishop St, Portland, ME 04103-2659 | 2018-06-20 |
| 1568900074 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 88 Oxford St, Lewiston, ME 04240-7825 | 2017-02-03 |
| 1417494857 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 72 Auburn St, Portland, ME 04103-2104 | 2017-01-24 |
| 1215339809 | Pk Holdings, Inc. | Substance Abuse Rehabilitation Facility | 160 Preble St, Portland, ME 04101-2426 | 2014-09-25 |
| 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.