NORTHERN MAINE GENERAL (NPI# 1942411319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942411319 |
| Entity Type | Organization |
| Organization Name | NORTHERN MAINE GENERAL |
| Other Organization Name | FRANCISCAN HOME |
| Practice Address |
3400 Aroostook Rd Eagle Lake ME 04739-0310 |
| Mailing Address |
Po Box 310 Eagle Lake ME 04739-0310 |
| Practice Telephone | 2074445152 |
| Practice Fax Number | 2074446099 |
| Mailing Telephone | 2074445152 |
| Mailing Fax Number | 2074446099 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | REYNOLD RAYMOND (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2074445152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 439379 | ME | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Franciscan Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508166158 | Northern Maine General | Assisted Living Facility | 5 Carter Street, Eagle Lake, ME 04739-0310 | 2010-10-29 |
| 1912108168 | Northern Maine General | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 31 Devoe Brook Rd, Eagle Lake, ME 04739-0310 | 2007-05-29 |
| 1487865895 | Northern Maine General | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 38 Carter St, Eagle Lake, ME 04739-0310 | 2007-05-25 |
| 1174734586 | Northern Maine General | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 36 Makayla Dr, Eagle Lake, ME 04739-0310 | 2007-05-25 |
| 1992916373 | Northern Maine General | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3358 Aroostook Rd, Eagle Lake, ME 04739-0310 | 2007-05-25 |
| 1265643670 | Northern Maine General | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 39 Devoe Brook Rd, Eagle Lake, ME 04739-0310 | 2007-05-25 |
| 1124090238 | Northern Maine General | Skilled Nursing Facility | 3402 Arroostook Rd, Eagle Lake, ME 04739-0310 | 2006-02-02 |
| 1821327982 | Northern Maine General | Community/Behavioral Health | 92 Bennett Drive, Caribou, ME 04736 | 2009-12-18 |
| 1437488590 | Northern Maine General | Case Management | 3388 Aroostook Road, Eagle Lake, ME 04739-0310 | 2009-12-18 |
| 1942449129 | Northern Maine General | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3388 Aroostook Road, Eagle Lake, ME 04739-0310 | 2009-02-12 |
| Street Address |
3400 AROOSTOOK RD |
| City | EAGLE LAKE |
| State | ME |
| Zip Code | 04739-0310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558608893 | Parise Viel | Occupational Therapist | 3402 Aroostook Rd, Eagle Lake, ME 04739 | 2013-01-07 |
| 1467709675 | Rebecca Elliott Reeves | Dentist | 10 Carter St, Eagle Lake, ME 04739 | 2012-08-07 |
| 1184867590 | Dawn Ouellette | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 South Brook Lane, Eagle Lake, ME 04739 | 2009-04-15 |
| 1073708947 | Jessica Haley | Social Worker | 3388 Aroostook Road, Eagle Lake, ME 04739 | 2007-09-13 |
| 1386716298 | Joyia Elizabeth Cyr | Physical Therapy Assistant | 37 Carter Street, Eagle Lake, ME 04739 | 2006-11-15 |
| 1063989929 | Denise Raymond | Social Worker | 5 Carter Street, Eagle Lake, ME 04739 | 2018-10-30 |
| 1831593698 | Kaitlin Perkins | Occupational Therapist | 3402 Aroostook Rd, Eagle Lake, ME 04739 | 2014-10-22 |
| 1730529454 | Daren Dionne | Occupational Therapy Assistant | 3402 Aroostook Rd, Eagle Lake, ME 04739 | 2013-06-26 |
| 1033372636 | Sharon M. Chasse | Physical Therapist | 3388 Aroostook Road, Eagle Lake, ME 04739 | 2008-07-03 |
| 1477625382 | Tina M Saucier I | Physical Therapist | 37 Carter Street, Eagle Lake, ME 04739 | 2006-11-15 |
| Find all providers in zip 04739 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1427382522 | New Communities, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1605 Essex Street, Bangor, ME 04401 | 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 |
| 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 | ||||
| City | EAGLE LAKE |
| Zip Code | 04739 |
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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.