MSAD1 (NPI# 1275744740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275744740 |
| Entity Type | Organization |
| Organization Name | MSAD1 |
| Practice Address |
79 Blake St Suite #1 Presque Isle ME 04769-2474 |
| Practice Telephone | 2077643036 |
| Practice Fax Number | 2077683445 |
| Mailing Telephone | 2077643036 |
| Mailing Fax Number | 2077683445 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHY LEE WAUGH (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 2077643036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
79 BLAKE ST SUITE #1 |
| City | PRESQUE ISLE |
| State | ME |
| Zip Code | 04769-2474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154678969 | Kassie Jo Lovely Clark | Occupational Therapist | 79 Blake St, Suite 1, Presque Isle, ME 04769-2474 | 2012-08-10 |
| 1003192188 | Casey L Nightingale | Occupational Therapist | 79 Blake St, Suite 1, Presque Isle, ME 04769-2474 | 2011-11-02 |
| 1437464740 | Jolayne Rush Mathers | Speech-Language Pathologist | 79 Blake St, Suite 1, Presque Isle, ME 04769-2474 | 2010-08-11 |
| 1881880086 | Tiffany P Johnston | Speech-Language Pathologist | 79 Blake St, Presque Isle, ME 04769-2474 | 2007-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
| 1588185409 | Dwight David Hubacher | Physical Therapy Assistant | 162 Academy Strret, Presque Isle, ME 04769 | 2017-06-30 |
| 1831561562 | Vna Home Health & Hospice | Home Health | 18 Green Hill Rd Ste 1, Presque Isle, ME 04769 | 2015-10-21 |
| 1225439581 | A & L Clinical Services | Community/Behavioral Health | 742 Main Street, Presque Isle, ME 04769 | 2014-09-05 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1669659603 | Susan Cambridge Dick | Occupational Therapist | 10 Bernadette, Caribou Rehab and Nursing Center, Caribou, ME 04769 | 2008-01-22 |
| 1285826792 | Osama Aziz | Internal Medicine | 146 Academy St, Suite 1b, The Aroostook Medical Center, Presque Isle, ME 04769 | 2007-08-17 |
| 1831220250 | Rachel Mary Swartz | Obstetrics & Gynecology | 140 Academy St Ste 4, Presque Isle, ME 04769 | 2007-03-08 |
| 1114053634 | Ralph U Scheidler | Social Worker | 20 Dyer Street, Community Care, Presque Isle, ME 04769 | 2007-02-26 |
| 1427158716 | Venkatram Nethala | Internal Medicine | 146 Academy Street, Suite 1b, Presque Isle, ME 04769 | 2006-09-25 |
| Find all providers in zip 04769 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285907386 | Employment Connections Maine LLC | Day Training, Developmentally Disabled Services | 9 Fengler Rd, Scarborough, ME 04074-8490 | 2012-02-21 |
| 1285918383 | Lee Todd Lacks | Day Training, Developmentally Disabled Services | 9 Lemont Ave, South Portland, ME 04106-5717 | 2011-10-06 |
| 1851601421 | Bolduc Employment Support & Training, LLC | Day Training, Developmentally Disabled Services | 175 Lancaster Street, Suite 218a, Portland, ME 04101 | 2010-10-18 |
| 1558671156 | Progressions LLC | Day Training, Developmentally Disabled Services | 58 Lower Barley St, Lebanon, ME 04027 | 2010-10-15 |
| 1831418128 | Mainehealth | Day Training, Developmentally Disabled Services | 39 Forest Ave, Portland, ME 04101 | 2010-05-26 |
| 1033433461 | Sargent Family Farm, LLC | Day Training, Developmentally Disabled Services | 11 Crazywater Creek Rd, Limington, ME 04049-3013 | 2010-03-14 |
| 1033447131 | Langley Vocational Services | Day Training, Developmentally Disabled Services | 16 Hollingsworth St, Winslow, ME 04901-6742 | 2009-12-01 |
| 1427384957 | Career Consultant Company | Day Training, Developmentally Disabled Services | 140 Turner St, Canton, ME 04221-3045 | 2009-10-18 |
| 1851625834 | St John Valley Associates, Inc. | Day Training, Developmentally Disabled Services | 291 Newberry Dr, Suite 105, Madawaska, ME 04756-1219 | 2009-09-24 |
| 1427286350 | E. Terrance Smith | Day Training, Developmentally Disabled Services | 62 Melbourne Street, Portland, ME 04101-2727 | 2009-06-30 |
| Find all providers with the same taxonomy | ||||
| City | PRESQUE ISLE |
| Zip Code | 04769 |
Please comment or provide details below to improve the information on MSAD1.
| 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.