CORNERSTONES OF MAINE LLC (NPI# 1477068757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477068757 |
| Entity Type | Organization |
| Organization Name | CORNERSTONES OF MAINE LLC |
| Practice Address |
20 Fairfield Hill Rd Kennebunkport ME 04046-5222 |
| Mailing Address |
42 S Portland Ave Brooklyn NY 11217-1302 |
| Practice Telephone | 8005886898 |
| Practice Fax Number | 8843954451 |
| Mailing Telephone | 9172250383 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| Authorized Official Name | JACOB GELLES (DIRECTOR) |
| Authorized Official Telephone | 8005885898 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
20 FAIRFIELD HILL RD |
| City | KENNEBUNKPORT |
| State | ME |
| Zip Code | 04046-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841517950 | Kristen L Coutu | Occupational Therapist | Child Development Services York, 39 Limerick Rd., Arundel, ME 04046 | 2010-04-28 |
| 1649426404 | 3rd Generation Dentistry, PC | Dentist | 1389 Portland Rd, Trentalange Family Dentistry, Arundel, ME 04046 | 2008-08-13 |
| 1093929978 | Gentle Dental Care | Dentist | 1220 Portland Road, Us Rt. 1, Arundel, ME 04046 | 2007-05-09 |
| 1629087283 | Robin Linster | Chiropractor | 1228 Portland Rd, Arundel, ME 04046 | 2006-08-05 |
| 1568986099 | Active Balance Spine and Sports Care Pllc | Chiropractor | 1228 Portland Rd, Arundel, ME 04046 | 2017-07-26 |
| 1174641047 | Town of Kennebunkport Maine | Registered Nurse | 101 Main Street, Police Communications Public Health Complex, Kennebunkport, ME 04046 | 2007-03-27 |
| 1679600548 | David Laurence Smith | Specialist | 283 Goose Rocks Rd, Kennebunkport, ME 04046-5102 | 2007-02-27 |
| 1669850376 | Mark Daniel Simmons | Counselor | 103 Whitten Hill Rd, Kennebunkport, ME 04046-5117 | 2015-05-13 |
| 1275908204 | Erika Grant | Dietitian, Registered | 181 Goose Rocks Rd, Kennebunkport, ME 04046-5246 | 2015-12-02 |
| 1942318670 | Richard D Tryon | Counselor | 27 The Long and Winding Rd, Kennebunkport, ME 04046-5257 | 2006-08-25 |
| Find all providers in zip 04046 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245528314 | 63 Washington Street | Community Based Residential Treatment Facility, Mental Illness | 63 Washington St, Camden, ME 04843-1581 | 2011-07-11 |
| 1952635039 | New Communities, Inc. | Community Based Residential Treatment Facility, Mental Illness | 109 Davis Avenue, Auburn, ME 04210 | 2009-09-23 |
| 1427382522 | New Communities, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1605 Essex Street, Bangor, ME 04401 | 2009-09-23 |
| 1154557452 | The Opportunity Alliance | Community Based Residential Treatment Facility, Mental Illness | 1329 Broadway, South Portland, ME 04106-4110 | 2009-06-02 |
| 1629218409 | Bonnie Rae Condon | Community Based Residential Treatment Facility, Mental Illness | 3101 Portage Rd, Portage Lake, ME 04768-3111 | 2009-03-06 |
| 1952548943 | North Star Farm Inc. | Community Based Residential Treatment Facility, Mental Illness | 112 Thyngs Mill Road, No Waterboro, ME 04061 | 2009-01-13 |
| 1942411319 | Northern Maine General | Community Based Residential Treatment Facility, Mental Illness | 3400 Aroostook Rd, Eagle Lake, ME 04739-0310 | 2007-05-25 |
| 1932262920 | Sunrise Opportunities | Community Based Residential Treatment Facility, Mental Illness | 4 Harbor Lane, Milbridge, ME 04658 | 2006-12-19 |
| 1972666337 | Sunrise Opportunities | Community Based Residential Treatment Facility, Mental Illness | 4 Clark St, Eastport, ME 04631-1036 | 2006-12-18 |
| 1154497030 | Charlotte White Center | Community Based Residential Treatment Facility, Mental Illness | 9 Paul St, Dover Foxcroft, ME 04426-1050 | 2006-11-24 |
| Find all providers with the same taxonomy | ||||
| City | KENNEBUNKPORT |
| Zip Code | 04046 |
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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.