GUARDIAN PORTLAND LLC


Address: 17 Bishop St, Portland, ME 04103-2659
Phone: 5612746133

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 17 BISHOP ST
City PORTLAND
State ME
Zip Code 04103-2659

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1992204697 Sober Living Oregon Treatment Center Clinic/Center 10209 Se Division, Portland, OR 97266 2018-02-08
1447605258 Crestview Recovery Services, LLC Clinic/Center 6027 Se Belmont St, Portland, OR 97215-1927 2016-04-29
1669856571 Portland Iop, LLC Clinic/Center 748 Se 181st Ave, Portland, OR 97233-4945 2015-07-10
1801947668 Crc Health Oregon, LLC Clinic/Center 324 Nw Davis St., Portland, OR 97209 2007-01-16
1558412320 Crc Health Oregon, LLC Clinic/Center 2600 Se Belmont St, Portland, OR 97214 2007-01-16
1932250719 Crc Health Oregon, LLC Clinic/Center 6601 Ne 78th Court, Ste A3, Portland, OR 97218 2007-01-16
1326056433 Lutheran Community Services Northwest Clinic/Center 605 Se Cesar E Chavez Blvd, Portland, OR 97214-3216 2006-08-04
1952360760 Transitions Counseling, Inc. Clinic/Center 583 Forest Ave, Portland, ME 04101-1547 2006-03-21
1194297671 Silver Lining Treatment Center (dba) Recovery Blvd Clinic/Center 10209 Se Division St Bldg D, Portland, OR 97266-1372 2018-12-21
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Competitor

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City PORTLAND
Zip Code 04103

Improve Information

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Dataset Information

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.

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