INDEPENDENCE ASSOCIATION, INC (NPI# 1346391901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346391901 |
Entity Type | Organization |
Organization Name | INDEPENDENCE ASSOCIATION, INC |
Practice Address |
87 Baribeau Dr Brunswick ME 04011-3229 |
Practice Telephone | 2077254371 |
Practice Fax Number | 2077251416 |
Mailing Telephone | 2077254371 |
Mailing Fax Number | 2077251416 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |
Authorized Official Name | JAMES PIERCE (CEO EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2077254371 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568513315 | Independence Association, Inc | Case Management | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
1477604221 | Independence Association, Inc | Community/Behavioral Health | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
1386795136 | Independence Association, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
1023169976 | Independence Association, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
Street Address |
87 BARIBEAU DR |
City | BRUNSWICK |
State | ME |
Zip Code | 04011-3229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568513315 | Independence Association, Inc | Case Management | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
1477604221 | Independence Association, Inc | Community/Behavioral Health | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
1386795136 | Independence Association, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
1023169976 | Independence Association, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 87 Baribeau Dr, Brunswick, ME 04011-3229 | 2007-01-16 |
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1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
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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 |
---|---|---|---|---|
1285767061 | Gateway Behavioral Health Services | Day Training, Developmentally Disabled Services | 2809 4th Street, Brunswick, GA 31520 | 2007-03-13 |
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 |
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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.