PINE HILL HOME SUPPORTS,INC. (NPI# 1790922979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790922979 |
| Entity Type | Organization |
| Organization Name | PINE HILL HOME SUPPORTS,INC. |
| Other Organization Name | RUSHES FOSTER HOMES |
| Practice Address |
198 Pine Hill Rd Monmouth ME 04259-7517 |
| Mailing Address |
198 Pine Hill Rd. Monmouth ME 04259 |
| Practice Telephone | 2079332915 |
| Practice Fax Number | 2079339122 |
| Mailing Telephone | 2079332915 |
| Mailing Fax Number | 2079339122 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |
| Authorized Official Name | DANIEL RUSH (FINANCIAL MANAGER) |
| Authorized Official Telephone | 2079332915 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | ALLS 2371 | ME | Residential Treatment Facilities |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | ALLS 3061 | ME | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 125520000 | 05 | |
| ME | 125520001 | 05 |
| Other Name | Type Code |
|---|---|
| Rushes Foster Homes | Other Name - Individual/Organization |
| Street Address |
198 PINE HILL RD |
| City | MONMOUTH |
| State | ME |
| Zip Code | 04259-7517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760518757 | Elizabeth E Rush | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 198 Pine Hill Rd, Monmouth, ME 04259-7517 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790322022 | A Mindful Eye LLC | Occupational Therapist | 15 Chick Drive, Monmouth, ME 04259 | 2019-12-05 |
| 1477984755 | Jamey Roy Cotnoir | Occupational Therapist | 15 Chick Dr., Monmouth, ME 04259 | 2013-12-11 |
| 1013960673 | Monmouth Rescue Association, Inc | Ambulance | 847 Main St, Monmouth, ME 04259 | 2006-05-17 |
| 1871558171 | Core Physical Therapy, Pa | Physical Therapist | 392 Route 202, Monmouth, ME 04259 | 2006-04-19 |
| 1588990550 | Anna Mcelhaney | Occupational Therapy Assistant | 392 Us Route 202, Monmouth, ME 04259 | 2009-10-27 |
| 1518171396 | Spectrum Occupational Therapy Services | Occupational Therapist | 392 Us Route 202, Monmouth, ME 04259 | 2007-05-10 |
| 1619105723 | Joyce Lagasse | In Home Supportive Care | 50 Morrill Ln, Monmouth, ME 04259-6416 | 2009-06-26 |
| 1376659342 | Roberta Jacqueline Mullan | Counselor | 256 Cressey Rd, Monmouth, ME 04259-6804 | 2006-08-22 |
| 1639352057 | David W. Varney, Dc, Pa | Chiropractor | 6 Blue Rd, Monmouth, ME 04259-6901 | 2007-12-07 |
| 1790101855 | Jessica J Belanger | Massage Therapist | 6 Blue Rd, Monmouth, ME 04259-6901 | 2014-03-13 |
| Find all providers in zip 04259 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437482916 | Partnerships In Community Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 480 Main St E, Monmouth, OR 97361-2335 | 2009-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585591 | Assurance Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Gracelawn Rd Apt 3, Auburn, ME 04210-6557 | 2020-10-13 |
| 1033722236 | Maine Shared Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 715 Upper St, Turner, ME 04282-3808 | 2020-08-26 |
| 1730797465 | Dirigo Support Professionals LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 176 Broad St Apt 1, Auburn, ME 04210-5610 | 2020-07-20 |
| 1154948206 | Quality Care Access, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Wayne St, Portland, ME 04102-2228 | 2020-07-05 |
| 1558987438 | Moonlight Group Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 253 Lisbon Street, Lewiston, ME 04240-7704 | 2020-06-17 |
| 1629617477 | Compass Bridges LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Arrowhead Dr, Brunswick, ME 04011-7420 | 2019-12-26 |
| 1538705637 | Grace Support Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 86 Euclid Ave, Portland, ME 04103-1240 | 2019-11-23 |
| 1467097709 | Pine Peak Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1395 Congress St, Portland, ME 04102-2120 | 2019-11-11 |
| 1306480108 | Pine Peak Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Sara Ln, Portland, ME 04103-3622 | 2019-11-05 |
| 1821648650 | Advanced Care Solutions LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 88 Knox St, Lewiston, ME 04240-7406 | 2019-09-13 |
| 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.