OHI (NPI# 1457426561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457426561 |
| Entity Type | Organization |
| Organization Name | OHI |
| Other Organization Name | COMMUNITY SUPPORTS |
| Practice Address |
203 Maine Ave Bangor ME 04401-4331 |
| Practice Telephone | 2078485804 |
| Practice Fax Number | 2078487978 |
| Mailing Telephone | 2078485804 |
| Mailing Fax Number | 2079894050 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | MS. BONNIE JEAN BROOKS (C.E.O.) |
| Authorized Official Telephone | 2076051199 |
| Is Organization Subpart | Y |
| Parent Organization Name | OHI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 230521 | ME | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 109800100 | 05 |
| Other Name | Type Code |
|---|---|
| Community Supports | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427121243 | Ohi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-17 |
| 1558839969 | Ohi | Community/Behavioral Health | 190 Main St, Ellsworth, ME 04605-1919 | 2018-11-05 |
| 1447514526 | Ohi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 Freedom Pkwy, Hermon, ME 04401-1100 | 2012-07-03 |
| 1720153836 | Ohi | Community Based Residential Treatment Facility, Mental Illness | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-22 |
| 1366517476 | Ohi | Case Management | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-22 |
| 1548335656 | Ohi | Day Training, Developmentally Disabled Services | 25 Freedom Pkwy, Hermon, ME 04401-1100 | 2006-11-22 |
| 1497820807 | Ohi | Residential Treatment Facility, Emotionally Disturbed Children | 25 Freedom Pkwy, Hermon, ME 04401-1100 | 2006-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | OHI & RAHI FASHIONS INC. | 173-17 89th Avenue, Apt 1b, Jamaica, Ny 11432 |
| Vermont Business Registrations | OHI (CONNECTICUT), INC. | 200 International Circle #3500, Hunt Valley, MD 21030 |
| Vermont Business Registrations | OHI (CONNECTICUT), LLC | 200 International Circle, Suite 3500, Hunt Valley, MD 21030 |
| Connecticut Business Registrations | OHI (CONNECTICUT), LLC | 200 International Circle #3500, Hunt Valley, MD 21030 |
| Indiana Business Entities | OHI (ILLINOIS), LLC | 200 International Circle, Ste 3500, Cockeysville, MD 21030-1394 |
| Indiana Business Entities | OHI (INDIANA), LLC | 200 International Circle Suite 3500, Hunt Valley, MD 21030 |
| Iowa Business Entities | OHI (IOWA), LLC. | 303 International Circle 200, Hunt Valley, MD 21030 |
| Indiana Business Entities | OHI ASET (IN), LLC | 200 International Circle #3500, Hunt Valley, MD 21030 |
| Colorado Business Entities | OHI Asset (CO) Brighton, LLC | 303 International Circle, Suite 200, Hunt Valley, MD 21030 |
| Colorado Business Entities | OHI Asset (CO) Denver, LLC | 303 International Circle, Suite 200, Hunt Valley, MD 21030 |
| Street Address |
203 MAINE AVE |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427121243 | Ohi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-17 |
| 1245831627 | Margaret Knapp | Social Worker | 203 Maine Ave, Bangor, ME 04401-4331 | 2020-11-03 |
| 1720153836 | Ohi | Community Based Residential Treatment Facility, Mental Illness | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-22 |
| 1366517476 | Ohi | Case Management | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629530530 | Fraser Clinical Consultation Services, LLC | Community/Behavioral Health | 96 Harlow St Ste 214, Bangor, ME 04401-4981 | 2019-04-01 |
| 1134632870 | Penobscot Community Health Center | Community/Behavioral Health | 85 Hammond St, Bangor, ME 04401-4913 | 2017-11-15 |
| 1548512114 | Communty Care | Community/Behavioral Health | 40 Summer, Community Care, Bangor, ME 04401-3105 | 2012-10-08 |
| 1285906412 | Families United | Community/Behavioral Health | 304 Hancock St. Suite 2c, Bangor, ME 04401 | 2012-02-03 |
| 1841436128 | Bangor Health Center | Community/Behavioral Health | 803 West Arlington Street, Bangor, MI 49013-1108 | 2008-12-17 |
| 1215102850 | Cornerstone Behavioral Healthcare, LLC | Community/Behavioral Health | 157 Park Street, Suite 5, Bangor, ME 04401-5000 | 2008-04-24 |
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1770799306 | Metro Treatment of Maine Lp | Community/Behavioral Health | 659 Hogan Rd, Bangor, ME 04401-3626 | 2007-05-14 |
| 1437370277 | Care Development of Maine | Community/Behavioral Health | 51 4th St, Bangor, ME 04401-6140 | 2007-05-01 |
| 1851432041 | New Life Mission | Community/Behavioral Health | 202 Exchange St, Bangor, ME 04401-6508 | 2007-02-09 |
| Find all providers in BANGOR | ||||
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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.