CITY OF PORTLAND (NPI# 1306071493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306071493 |
| Entity Type | Organization |
| Organization Name | CITY OF PORTLAND |
| Other Organization Name | BARRON CENTER ADULT DAY PROGRAM |
| Practice Address |
1145 Brighton Ave Portland ME 04102-1025 |
| Practice Telephone | 2075416500 |
| Practice Fax Number | 2075416555 |
| Mailing Telephone | 2075416500 |
| Mailing Fax Number | 2075416555 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | MRS. JERALYN P LOGUE (PRINCIPAL FINANCIAL OFFICER) |
| Authorized Official Telephone | 2075416500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
ALLS 3249 | ME | Ambulatory Health Care Facilities |
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
ALLS 3248 | ME | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 136040200 | 05 |
| Other Name | Type Code |
|---|---|
| ADULT DAY SERVICES PROGRAM HEALTH/DAY | Doing Business As Name - Organization |
| BARRON CENTER ADULT DAY PROGRAM | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053596676 | City of Portland | Case Management | 196 Lancaster St, Portland, ME 04101-2418 | 2008-01-02 |
| 1609917889 | City of Portland | Custodial Care Facility | 1145 Brighton Ave, Portland, ME 04102-1025 | 2007-02-09 |
| 1134185648 | City of Portland | Ambulance | 380 Congress St, Portland, ME 04101-3513 | 2006-04-24 |
| 1962498618 | City of Portland | Ambulance | 773 E Grand River Ave, Portland, MI 48875-1478 | 2005-09-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CITY OF PORTLAND PROPERTY LLC | 5410 Ne 109th Avenue, Portland, OR 97220 |
| Street Address |
1145 BRIGHTON AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609917889 | City of Portland | Custodial Care Facility | 1145 Brighton Ave, Portland, ME 04102-1025 | 2007-02-09 |
| 1942811161 | Michael James Davis | Nurse Practitioner | 1145 Brighton Ave, Portland, ME 04102-1025 | 2020-08-11 |
| 1265901375 | Sarah Kleffke | Speech-Language Pathologist | 1145 Brighton Ave, Portland, ME 04102-1025 | 2018-11-19 |
| 1396226783 | Michala Christine Williams | Physical Therapist | 1145 Brighton Ave, Portland, ME 04102-1025 | 2018-08-24 |
| 1770038572 | Kristen Knopp | Nurse Practitioner | 1145 Brighton Ave, Portland, ME 04102-1025 | 2016-08-22 |
| 1285058925 | Lauren E St. Pierre | Physical Therapist | 1145 Brighton Ave, Portland, ME 04102-1025 | 2014-02-18 |
| 1699931626 | Denise Mary Cobleigh | Physical Therapy Assistant | 1145 Brighton Ave, Portland, ME 04102-1025 | 2008-07-30 |
| 1497911549 | Steven Andrew Kiesman | Physical Therapy Assistant | 1145 Brighton Ave, Portland, ME 04102-1025 | 2008-07-29 |
| 1720244874 | Mer Cie Jeannette Normand | Occupational Therapist | 1145 Brighton Ave, Portland, ME 04102-1025 | 2008-07-29 |
| 1376708644 | Susan E Lindsay | Dental Hygienist | 1145 Brighton Ave, Barron Center, Portland, ME 04102 | 2008-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194282806 | Oregon St. Martin Charities Org | Clinic/Center | 5239 Se Woodstock Blvd, Portland, OR 97206-6822 | 2019-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659899144 | Trusted Souls Adult Daycare Center, LLC | Clinic/Center | 1019 Lewiston Rd, New Gloucester, ME 04260-3412 | 2017-09-05 |
| 1740639210 | Lorrie Ann Pettengill | Clinic/Center | 24 Hoyt St, Springvale, ME 04083-1710 | 2016-06-06 |
| 1629453543 | Senior Care Center | Clinic/Center | 37 Spruce St, Suit #1, Lewiston, ME 04240-7322 | 2015-07-21 |
| 1174759500 | Southern Maine Agency On Aging | Clinic/Center | 30 Barra Rd, Biddeford, ME 04005-9459 | 2009-05-29 |
| 1942444906 | Robert and Mary's Place | Clinic/Center | 50 Meadow View Ln, Suite # 35, Ellsworth, ME 04605-1547 | 2009-04-21 |
| 1386885424 | Servants of The Cross | Clinic/Center | 32 Sky Hy Dr, Topsham, ME 04086-5772 | 2009-03-19 |
| 1447354576 | Redding Homes, Inc | Clinic/Center | 26 Pleasant Street, Canton, ME 04221-0636 | 2006-09-11 |
| 1013451202 | The Golden Years Adult Day Services | Clinic/Center | 24 Hoyt St, Springvale, ME 04083-1710 | 2016-12-07 |
| 1780952671 | Selah Care Center A Nj Non-profit Org | Clinic/Center | 236 Main Street, Lewiston, ME 04240 | 2011-12-06 |
| 1801020904 | Billie's Adult Residential Care Home P.a. | Clinic/Center | 8 Leonard St, Houlton, ME 04730-1708 | 2009-05-05 |
| 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.