BOLDUC EMPLOYMENT SUPPORT & TRAINING, LLC


Address: 175 Lancaster Street, Suite 218a, Portland, ME 04101
Phone: 2077748700

BOLDUC EMPLOYMENT SUPPORT & TRAINING, LLC (NPI# 1851601421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851601421
Entity Type Organization
Organization Name BOLDUC EMPLOYMENT SUPPORT & TRAINING, LLC
Practice Address 175 Lancaster Street
Suite 218a
Portland
ME 04101
Practice Telephone 2077748700
Practice Fax Number 2077748700
Mailing Telephone 2077748700
Mailing Fax Number 2077748700
Enumeration Date 2010-10-18
Last Update Date 2010-10-18
Authorized Official Name LAURA J BOLDUC (MEMBER)
Authorized Official Telephone 2077748700
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services Agencies

Office Location

Street Address 175 LANCASTER STREET
SUITE 218A
City PORTLAND
State ME
Zip Code 04101

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1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
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1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
1841855301 Portland Opioid Health Home Counselor 48 Free St., Mezzanine Level, Portland, ME 04101 2019-05-09
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
1881123297 Mark Mccullough Social Worker 57 Exchange Street, Suite 403, Portland, ME 04101 2017-06-08
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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659924629 Believe and Achieve. LLC Day Training, Developmentally Disabled Services 15376 Nw Nightshade Dr, Portland, OR 97229-1577 2019-07-18
1831418128 Mainehealth Day Training, Developmentally Disabled Services 39 Forest Ave, Portland, ME 04101 2010-05-26
1427286350 E. Terrance Smith Day Training, Developmentally Disabled Services 62 Melbourne Street, Portland, ME 04101-2727 2009-06-30
1215066287 Affinity Day Training, Developmentally Disabled Services 400 Riverside St, Unit A4, Portland, ME 04103-1068 2007-03-05
1255499711 Growing Opportunities, Inc. Day Training, Developmentally Disabled Services 1 Longfellow Sq, Suite 303, Portland, ME 04101-3792 2006-12-05
1437227535 Trillium Family Services Day Training, Developmentally Disabled Services 3415 Se Powell Boulevard, Portland, OR 97202 2006-11-30
1861605651 Portland Public Schools Day Training, Developmentally Disabled Services 196 Allen Ave, Portland, ME 04103-3711 2007-05-08
1316090186 Coastal Plains Community Mhmr Center Day Training, Developmentally Disabled Services 200 Marriott Dr, Portland, TX 78374-2213 2007-01-18
1023161890 Coastal Plains Community Mhmr Center Day Training, Developmentally Disabled Services 200 Marriott Dr, Portland, TX 78374-2213 2007-01-18
1497810964 Peregrine Corporation Day Training, Developmentally Disabled Services 1011 Forest Avenue, Portland, ME 04103 2006-12-26
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Competitor

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City PORTLAND
Zip Code 04101

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Dataset Information

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.

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