63 WASHINGTON STREET (NPI# 1245528314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245528314 |
| Entity Type | Organization |
| Organization Name | 63 WASHINGTON STREET |
| Practice Address |
63 Washington St Camden ME 04843-1581 |
| Mailing Address |
63 Washington Street Camden ME 04843 |
| Practice Telephone | 2072363638 |
| Practice Fax Number | 2072363638 |
| Mailing Telephone | 2072363638 |
| Mailing Fax Number | 2072363638 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |
| Authorized Official Name | MRS. THERESA K WILLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 2072363638 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | ALLS 4136 | ME | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | 63 WASHINGTON STREET LLC | 447 Broadway, Taunton, MA 02780 |
| Street Address |
63 WASHINGTON ST |
| City | CAMDEN |
| State | ME |
| Zip Code | 04843-1581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568902443 | Sixty Three Washington St. Home for Seniors | Assisted Living Facility | 63 Washington St, Camden, ME 04843-1581 | 2017-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740633148 | Judith Orme | Social Worker | 69 Elm St., #203, Camden, ME 04843 | 2016-07-20 |
| 1497912208 | Amber Elizabeth Blanchard | Occupational Therapy Assistant | 105 Mechanic Street, Camden, ME 04843 | 2008-05-20 |
| 1083810097 | Louise P Bakley | Speech-Language Pathologist | 69 Elm Street, Camden, ME 04843 | 2007-06-26 |
| 1679787527 | School Administrative District No 28 | Local Education Agency (LEA) | 7 Lions Lane, Camden, ME 04843 | 2007-05-10 |
| 1649346925 | Suetta Tenney | Internal Medicine | Genesis Health Care Winward Gardens Nursing Center, 105 Mechanic Street, Camden, ME 04843 | 2006-11-28 |
| 1235221854 | Kathleen A Dishner | Nurse Practitioner | 62 Bayview St Unit 23, Camden, ME 04843 | 2006-09-29 |
| 1417990896 | Carlton Douglas Johnstone | Chiropractor | 49 Elm St, Camden, ME 04843 | 2006-06-14 |
| 1720048044 | Marsha Leslie Domench | Physical Therapist | 22 Park Street, Camden, ME 04843 | 2006-03-23 |
| 1619968682 | Jennifer Marie Batterman | Psychologist | 87 Elm St Ste 203, Camden, ME 04843 | 2005-10-31 |
| 1629594155 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 35 Elm St, Camden, ME 04843 | 2017-08-16 |
| Find all providers in zip 04843 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871012138 | South Jersey Behavioral Health Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1127 N 35th St, Camden, NJ 08105-4327 | 2017-09-18 |
| 1679092951 | South Jersey Behavioral Health Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 555 Spruce St, Camden, NJ 08103-2134 | 2017-09-18 |
| 1427577865 | South Jersey Behavioral Health Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 614a Cherry St, Camden, NJ 08103-2321 | 2017-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477068757 | Cornerstones of Maine LLC | Community Based Residential Treatment Facility, Mental Illness | 20 Fairfield Hill Rd, Kennebunkport, ME 04046-5222 | 2017-12-07 |
| 1952635039 | New Communities, Inc. | Community Based Residential Treatment Facility, Mental Illness | 109 Davis Avenue, Auburn, ME 04210 | 2009-09-23 |
| 1427382522 | New Communities, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1605 Essex Street, Bangor, ME 04401 | 2009-09-23 |
| 1154557452 | The Opportunity Alliance | Community Based Residential Treatment Facility, Mental Illness | 1329 Broadway, South Portland, ME 04106-4110 | 2009-06-02 |
| 1629218409 | Bonnie Rae Condon | Community Based Residential Treatment Facility, Mental Illness | 3101 Portage Rd, Portage Lake, ME 04768-3111 | 2009-03-06 |
| 1952548943 | North Star Farm Inc. | Community Based Residential Treatment Facility, Mental Illness | 112 Thyngs Mill Road, No Waterboro, ME 04061 | 2009-01-13 |
| 1942411319 | Northern Maine General | Community Based Residential Treatment Facility, Mental Illness | 3400 Aroostook Rd, Eagle Lake, ME 04739-0310 | 2007-05-25 |
| 1932262920 | Sunrise Opportunities | Community Based Residential Treatment Facility, Mental Illness | 4 Harbor Lane, Milbridge, ME 04658 | 2006-12-19 |
| 1972666337 | Sunrise Opportunities | Community Based Residential Treatment Facility, Mental Illness | 4 Clark St, Eastport, ME 04631-1036 | 2006-12-18 |
| 1154497030 | Charlotte White Center | Community Based Residential Treatment Facility, Mental Illness | 9 Paul St, Dover Foxcroft, ME 04426-1050 | 2006-11-24 |
| 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.