GUARDIAN PORTLAND LLC (NPI# 1316417397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316417397 |
Entity Type | Organization |
Organization Name | GUARDIAN PORTLAND LLC |
Practice Address |
17 Bishop St Portland ME 04103-2659 |
Mailing Address |
3333 S Congress Ave Ste 402 Delray Beach FL 33445-7346 |
Practice Telephone | 5612746133 |
Enumeration Date | 2018-12-03 |
Last Update Date | 2018-12-03 |
Authorized Official Name | MR. JUSTIN WILLIAMS (FINANCIAL CONTROLLER) |
Authorized Official Telephone | 8778312533 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
Street Address |
17 BISHOP ST |
City | PORTLAND |
State | ME |
Zip Code | 04103-2659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316945090 | Spurwink Services Incorporated | Case Management | 17 Bishop St, Portland, ME 04103-2659 | 2005-07-07 |
1376190173 | Allison Leslie Hart | Counselor | 17 Bishop St, Portland, ME 04103-2659 | 2019-08-26 |
1619538782 | Gabrielle Alyson Bowker | Family Medicine | 17 Bishop St, Portland, ME 04103-2659 | 2019-06-27 |
1730673088 | Pine Tree Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 17 Bishop St, Portland, ME 04103-2659 | 2018-06-20 |
1902200868 | Jamie Hussey | Social Worker | 17 Bishop St, Portland, ME 04103-2659 | 2014-10-21 |
1609184654 | Randi-anne Bruneau | Counselor | 17 Bishop St, Portland, ME 04103-2659 | 2010-09-23 |
1164730685 | Sarah Ann Labonte | Nurse Practitioner | 17 Bishop St, 2nd Floor, Portland, ME 04103-2659 | 2010-09-17 |
1023259892 | Rebecca W Spitko | Case Manager/Care Coordinator | 17 Bishop St, Portland, ME 04103-2659 | 2009-03-09 |
1487802013 | Ricque V Finucane | Counselor | 17 Bishop St, Portland, ME 04103-2659 | 2008-09-08 |
1528244399 | Jennifer A Pearson | Social Worker | 17 Bishop St, Portland, ME 04103-2659 | 2008-01-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
Find all providers in zip 04103 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1932250719 | Crc Health Oregon, LLC | Clinic/Center | 6601 Ne 78th Court, Ste A3, Portland, OR 97218 | 2007-01-16 |
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1194297671 | Silver Lining Treatment Center (dba) Recovery Blvd | Clinic/Center | 10209 Se Division St Bldg D, Portland, OR 97266-1372 | 2018-12-21 |
Find all providers in PORTLAND |
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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.