LORRIE ANN PETTENGILL (NPI# 1740639210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740639210 |
| Entity Type | Individual |
| Full Name | LORRIE ANN PETTENGILL |
| Practice Address |
24 Hoyt St Springvale ME 04083-1710 |
| Practice Telephone | 2077300968 |
| Practice Fax Number | 2078501184 |
| Mailing Telephone | 2077300968 |
| Mailing Fax Number | 2078501184 |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Street Address |
24 HOYT ST |
| City | SPRINGVALE |
| State | ME |
| Zip Code | 04083-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013451202 | The Golden Years Adult Day Services | Clinic/Center | 24 Hoyt St, Springvale, ME 04083-1710 | 2016-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053762567 | Anchor Senior Care Residence | Custodial Care Facility | 25 Oak Street, Springvale, ME 04083 | 2016-06-27 |
| 1154604288 | Sanford Family Eyecare PC | Optometrist | 462 Main St Ste 2, Springvale, ME 04083 | 2011-09-26 |
| 1366763831 | Susan G Lebel | Pharmacist | 12 Sabrina Ln, Springvale, ME 04083 | 2010-06-18 |
| 1093968943 | York County Community Action Corps | Case Management | 6 Merrill Street, Springvale, ME 04083 | 2008-10-23 |
| 1518022870 | Paul M Basko | Chiropractor | 596 Main Street, Springvale, ME 04083 | 2006-12-27 |
| 1578627493 | Celia R Thibodeau | Acupuncturist | 554 Main Street, Springvale, ME 04083 | 2006-12-22 |
| 1396156600 | Robert Mcvety | Dentist | 460 Main Street, Suite #1, Springvale, ME 04083 | 2014-05-09 |
| 1477976397 | Shayne Croy | Social Worker | 469 Main St Ste 304, Springvale, ME 04083 | 2014-01-29 |
| 1770897415 | John Joseph Kiernan | Pharmacist | 464 Main St, Springvale, ME 04083 | 2010-08-05 |
| 1346340692 | Jay Morgan Knudsen | Dentist | 460 Main Street, Suite 1, Springvale, ME 04083 | 2006-09-25 |
| Find all providers in zip 04083 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013451202 | The Golden Years Adult Day Services | Clinic/Center | 24 Hoyt St, Springvale, ME 04083-1710 | 2016-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659899144 | Trusted Souls Adult Daycare Center, LLC | Clinic/Center | 1019 Lewiston Rd, New Gloucester, ME 04260-3412 | 2017-09-05 |
| 1629453543 | Senior Care Center | Clinic/Center | 37 Spruce St, Suit #1, Lewiston, ME 04240-7322 | 2015-07-21 |
| 1174759500 | Southern Maine Agency On Aging | Clinic/Center | 30 Barra Rd, Biddeford, ME 04005-9459 | 2009-05-29 |
| 1942444906 | Robert and Mary's Place | Clinic/Center | 50 Meadow View Ln, Suite # 35, Ellsworth, ME 04605-1547 | 2009-04-21 |
| 1386885424 | Servants of The Cross | Clinic/Center | 32 Sky Hy Dr, Topsham, ME 04086-5772 | 2009-03-19 |
| 1447354576 | Redding Homes, Inc | Clinic/Center | 26 Pleasant Street, Canton, ME 04221-0636 | 2006-09-11 |
| 1780952671 | Selah Care Center A Nj Non-profit Org | Clinic/Center | 236 Main Street, Lewiston, ME 04240 | 2011-12-06 |
| 1306071493 | City of Portland | Clinic/Center | 1145 Brighton Ave, Portland, ME 04102-1025 | 2009-05-19 |
| 1801020904 | Billie's Adult Residential Care Home P.a. | Clinic/Center | 8 Leonard St, Houlton, ME 04730-1708 | 2009-05-05 |
| City | SPRINGVALE |
| Zip Code | 04083 |
Please comment or provide details below to improve the information on LORRIE ANN PETTENGILL.
| 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.