GOOD WILL HOME ASSOCIATION (NPI# 1770703597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770703597 |
| Entity Type | Organization |
| Organization Name | GOOD WILL HOME ASSOCIATION |
| Other Organization Name | GOOD WILL-HINCKLEY |
| Practice Address |
Waterville Rd Prescott Administration Bldg. Hinckley ME 04944-0159 |
| Mailing Address |
Po Box 159 Hinckley ME 04944-0159 |
| Practice Telephone | 2072384000 |
| Practice Fax Number | 2072384017 |
| Mailing Telephone | 2072384000 |
| Mailing Fax Number | 2072384017 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2009-03-26 |
| Authorized Official Name | DR. NEIL B COLAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2072384000 |
| Authorized Official Credential | ED.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | PS885 | ME | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 101810004 | 05 | |
| ME | 101810007 | 05 | |
| ME | 431543400 | 05 | |
| ME | 101810006 | 05 | |
| ME | 101810008 | 05 | |
| ME | 101810003 | 05 | |
| ME | 101810103 | 05 | |
| ME | 101810000 | 05 | |
| ME | 101810005 | 05 | |
| ME | 101810001 | 05 | |
| ME | 101810009 | 05 | |
| ME | 101810002 | 05 |
| Other Name | Type Code |
|---|---|
| Good Will-Hinckley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013450097 | Good Will Home Association | Community/Behavioral Health | 16 Prescott Drive, Hinckley, ME 04944-0159 | 2016-11-23 |
| Street Address |
WATERVILLE RD PRESCOTT ADMINISTRATION BLDG. |
| City | HINCKLEY |
| State | ME |
| Zip Code | 04944-0159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999694 | Brittney Ibbitson | Registered Nurse | 16 Page Terrace, Hinckley, ME 04944 | 2020-07-16 |
| 1477174936 | El Rancho De La Vida | Substance Abuse Rehabilitation Facility | 62 Page Terrace, Fairfield, ME 04944 | 2020-05-06 |
| 1013450097 | Good Will Home Association | Community/Behavioral Health | 16 Prescott Drive, Hinckley, ME 04944-0159 | 2016-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988093 | Marisa Seitz | Dietitian, Registered | 927 White Horse Trl, Hinckley, OH 44233-9326 | 2020-10-08 |
| 1518572502 | Katherine Marie Fischer | Nurse Practitioner | 242 Walden Ridge Dr, Hinckley, OH 44233-9000 | 2020-09-15 |
| 1619582160 | Jerry Hixson | Homemaker | 1916 Bellus Rd, Hinckley, OH 44233-9531 | 2020-09-11 |
| 1235744616 | Akron Renal Care Group, LLC | Clinic/Center | 2583 Center Rd, Hinckley, OH 44233-9561 | 2020-09-11 |
| 1902410020 | Shawn Marie Pepera | Nurse Practitioner | 988 Westwind Trce, Hinckley, OH 44233-9336 | 2020-09-04 |
| 1225648843 | Lindsey Stormy-may Sitz | Pharmacist | 45 Lady Luck Dr, Hinckley, MN 55037 | 2020-08-07 |
| 1750999694 | Brittney Ibbitson | Registered Nurse | 16 Page Terrace, Hinckley, ME 04944 | 2020-07-16 |
| 1679198949 | Lynne Sustersic | Dietitian, Registered | 1995 Clover Cir, Hinckley, OH 44233-9525 | 2020-06-12 |
| 1124656749 | Alexis Jade Petite | Specialist/Technologist | 114 5th St Ne, Hinckley, MN 55037-3784 | 2020-03-30 |
| 1912462516 | Donna Morrison | Registered Nurse | 1949 Mattingly Rd, Hinckley, OH 44233-9427 | 2019-02-07 |
| Find all providers in HINCKLEY | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497917371 | Summit Achievement of Stow | Residential Treatment Facility, Emotionally Disturbed Children | 69 Deer Hill Rd, Stow, ME 04037-3100 | 2008-07-01 |
| 1316134273 | Santana Lynn Riding Stables | Residential Treatment Facility, Emotionally Disturbed Children | 728 Upper Guinea Rd, Lebanon, ME 04027-4417 | 2007-09-25 |
| 1144397480 | Nfi North, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 99 North Mountain Rd, Jefferson, ME 04348 | 2006-11-30 |
| 1679649990 | Nfi North, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 55 Oliver St, Bath, ME 04530-2826 | 2006-11-28 |
| 1376610311 | Nfi North, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 63 Summit Ave, Bangor, ME 04401-5631 | 2006-11-28 |
| 1093881369 | Nfi North, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 98 Russell St, Lewiston, ME 04240-6004 | 2006-11-28 |
| 1134295405 | Nfi North, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 15 Wayside Ave, Bridgton, ME 04009-1231 | 2006-11-28 |
| 1588737985 | Charlotte White Center | Residential Treatment Facility, Emotionally Disturbed Children | 487 Garland Rd, Dexter, ME 04930-2652 | 2006-11-16 |
| 1700958022 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2006-11-14 |
| 1669415659 | Harbor Schools of Maine, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1152 Rockland St., W. Rockport, ME 04865 | 2006-06-14 |
| 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.