SOUCY'S FOSTER HOME (NPI# 1225278062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225278062 |
| Entity Type | Organization |
| Organization Name | SOUCY'S FOSTER HOME |
| Practice Address |
101 Berry Ave Van Buren ME 04785-1443 |
| Mailing Address |
101 Berry Ave Van Buren ME 04785 |
| Practice Telephone | 2078687777 |
| Mailing Telephone | 2078687777 |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | SHEILA MARIE SOUCY (FOSTER HOME PROVIDER) |
| Authorized Official Telephone | 2078687777 |
| 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 | SOCIAL SECURITY NUMBER | $$$$$$$$$ | 01 |
| Street Address |
101 BERRY AVE |
| City | VAN BUREN |
| State | ME |
| Zip Code | 04785-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679944490 | Kristin Theriault | Social Worker | 358 Hamlin Rd, Hamlin, ME 04785 | 2015-10-20 |
| 1508188517 | Myles Peter Ouellette | Massage Therapist | 204 Champlain St, Van Buren, ME 04785 | 2010-02-17 |
| 1336380443 | Ouellette Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 162 State Street, Van Buren, ME 04785 | 2009-03-19 |
| 1114168945 | St Jude's Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 123 Wright Street, Von Buren, ME 04785 | 2009-03-06 |
| 1184852022 | Bernadette Fortin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 144 High St, Van Buren, ME 04785 | 2009-06-30 |
| 1245754209 | Walgreen Co | Pharmacy | 21 Main St, Van Buren, ME 04785-1008 | 2017-08-01 |
| 1760761134 | Katie Daigle | Pharmacist | 21 Main St, Van Buren, ME 04785-1008 | 2011-08-16 |
| 1174814396 | Marion Brett Felty | Pharmacist | 21 Main St, Van Buren, ME 04785-1008 | 2011-04-21 |
| 1851462931 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 21 Main Street, Van Buren, ME 04785-1008 | 2006-11-13 |
| 1366051666 | Lindsey Desrosier | Nurse Practitioner | 4 Main St, Van Buren, ME 04785-1009 | 2020-07-23 |
| Find all providers in zip 04785 | ||||
| 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 |
|---|---|---|---|---|
| 1659506566 | Joan Lapointe | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 113 Wright St, Van Buren, ME 04785-1350 | 2009-05-20 |
| 1588899496 | Rhonda Parent | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Wright St, Van Buren, ME 04785-1352 | 2009-05-20 |
| 1427292663 | Rita M Michaud | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 116 Tyler St, Van Buren, ME 04785-2207 | 2009-04-30 |
| 1932342839 | Holy Cross Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 113 Champlain St., Van Buren, ME 04785-1446 | 2009-04-08 |
| 1447491386 | J & J Adult Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 981 Main Street, Van Buren, ME 04785-1446 | 2009-03-23 |
| 1508007592 | St. John Valley Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 Church Street, Van Buren, ME 04785-1446 | 2009-03-20 |
| 1336380443 | Ouellette Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 162 State Street, Van Buren, ME 04785 | 2009-03-19 |
| 1649411240 | Tammy's Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Tyler St, Van Buren, ME 04785-2211 | 2009-03-12 |
| 1184852022 | Bernadette Fortin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 144 High St, Van Buren, ME 04785 | 2009-06-30 |
| 1417191560 | Christine Lapointe | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 110 Poplar St, Van Buren, ME 04785-1153 | 2009-04-20 |
| Find all providers in VAN BUREN | ||||
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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.