EL RANCHO DE LA VIDA (NPI# 1477174936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477174936 |
| Entity Type | Organization |
| Organization Name | EL RANCHO DE LA VIDA |
| Practice Address |
62 Page Terrace Fairfield ME 04944 |
| Mailing Address |
Po Box 1 Hinckley ME 04944-0001 |
| Practice Telephone | 2073870101 |
| Mailing Telephone | 2073870101 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Authorized Official Name | BENJAMIN SMITH (OPERATIONS DIRECTOR) |
| Authorized Official Telephone | 2073870101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 60 Bates Drive, Fairfield, ME 04944 | 2073870101 |
| Street Address |
62 PAGE TERRACE |
| City | FAIRFIELD |
| State | ME |
| Zip Code | 04944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999694 | Brittney Ibbitson | Registered Nurse | 16 Page Terrace, Hinckley, ME 04944 | 2020-07-16 |
| 1013450097 | Good Will Home Association | Community/Behavioral Health | 16 Prescott Drive, Hinckley, ME 04944-0159 | 2016-11-23 |
| 1770703597 | Good Will Home Association | Residential Treatment Facility, Emotionally Disturbed Children | Waterville Rd, Prescott Administration Bldg., Hinckley, ME 04944-0159 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740091 | Deanna Jean Bays | Home Health Aide | 5537 Lake Michigan Dr, Fairfield, OH 45014-3268 | 2020-11-07 |
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1033718671 | Michelle Tabin Dulay | Massage Therapist | 1652 W Texas St Ste 127, Fairfield, CA 94533-5952 | 2020-10-24 |
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1922607753 | Araya Moua | Occupational Therapist | 5038 Lakeview Cir, Fairfield, CA 94534-7400 | 2020-10-22 |
| 1780283176 | Karl Kochersperger | Specialist/Technologist | 146 Sherwood Farm Rd, Fairfield, CT 06824-2979 | 2020-10-18 |
| 1437757838 | Tree of Life Centers | Social Worker | 191 Catherine Ter, Fairfield, CT 06824-6463 | 2020-10-16 |
| 1154929651 | Shauntel Evette Haas | Registered Nurse | 2811 Toland Dr, Fairfield, CA 94534-3441 | 2020-10-15 |
| 1578161170 | Lisa B Stein | Nurse Practitioner | 861 Brooklawn Ave, Fairfield, CT 06825-1809 | 2020-10-15 |
| 1831797398 | Angela Pau | Registered Nurse | 100 Bent Tree Dr Apt 1a, Fairfield, OH 45014-6729 | 2020-10-15 |
| Find all providers in FAIRFIELD | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528252 | Ct Ya Services LLC | Substance Abuse Rehabilitation Facility | 3236 Congress St, Fairfield, CT 06824-2034 | 2019-10-07 |
| 1437510542 | City Church 242 | Substance Abuse Rehabilitation Facility | 743 E Tabor Ave, Fairfield, CA 94533-4046 | 2016-03-16 |
| 1407915473 | Archway Recovery Services Inc | Substance Abuse Rehabilitation Facility | 1525 Union Ave, Fairfield, CA 94533-5049 | 2006-12-06 |
| 1841811346 | Archway Recovery Services | Substance Abuse Rehabilitation Facility | 1225 Travis Blvd Ste H, Fairfield, CA 94533-4839 | 2020-05-06 |
| 1598306771 | Ct Ya Services LLC | Substance Abuse Rehabilitation Facility | 2495 Redding Rd, Fairfield, CT 06824-1703 | 2019-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
| 1275723371 | Outpatient Chemical Dependency Agency | Substance Abuse Rehabilitation Facility | 185 Harlow St, Bangor, ME 04401-9101 | 2007-07-26 |
| 1144432907 | Serenity House, Inc. | Substance Abuse Rehabilitation Facility | 30 Mellen St, Portland, ME 04101-2110 | 2007-05-04 |
| 1063548436 | Milestone Foundation Inc | Substance Abuse Rehabilitation Facility | 65 India St, Portland, ME 04101-4209 | 2007-02-27 |
| 1396889374 | Milestone Foundation Inc | Substance Abuse Rehabilitation Facility | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2007-02-16 |
| 1912538430 | The Charlie Mike Project | Substance Abuse Rehabilitation Facility | 213 W Broadway, Lincoln, ME 04457-4001 | 2020-02-03 |
| 1730673088 | Pine Tree Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 17 Bishop St, Portland, ME 04103-2659 | 2018-06-20 |
| 1568900074 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 88 Oxford St, Lewiston, ME 04240-7825 | 2017-02-03 |
| 1417494857 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 72 Auburn St, Portland, ME 04103-2104 | 2017-01-24 |
| 1508254699 | Wellspring, Inc. | Substance Abuse Rehabilitation Facility | 98 Cumberland St, Bangor, ME 04401-5234 | 2014-12-26 |
| Find all providers with the same taxonomy | ||||
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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.