OHI (NPI# 1720153836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720153836 |
| Entity Type | Organization |
| Organization Name | OHI |
| Other Organization Name | PNMI - MH ADULT |
| Practice Address |
203 Maine Ave Bangor ME 04401-4331 |
| Practice Telephone | 2078485804 |
| 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 | 2078485804 |
| Is Organization Subpart | Y |
| Parent Organization Name | OHI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 230521 | ME | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 109800004 | 05 | |
| ME | 109800001 | 05 | |
| ME | 109800002 | 05 |
| Other Name | Type Code |
|---|---|
| PNMI - MH Adult | 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 |
| 1457426561 | Ohi | Community/Behavioral Health | 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 |
| 1457426561 | Ohi | Community/Behavioral Health | 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 | 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 |
|---|---|---|---|---|
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1467756221 | Cornerstone I Inc. | Community Based Residential Treatment Facility, Mental Illness | 59859 M 43, Bangor, MI 49013-9617 | 2011-01-07 |
| 1427382522 | New Communities, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1605 Essex Street, Bangor, ME 04401 | 2009-09-23 |
| 1598830820 | Penquis C.a.p., Inc. | Community Based Residential Treatment Facility, Mental Illness | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-21 |
| 1134178304 | Community Psychological Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 715 Pennsylvania Ave, Bangor, PA 18013-1740 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477068757 | Cornerstones of Maine LLC | Community Based Residential Treatment Facility, Mental Illness | 20 Fairfield Hill Rd, Kennebunkport, ME 04046-5222 | 2017-12-07 |
| 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 |
| 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 | ||||
Please comment or provide details below to improve the information on OHI.
| 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.