NORTHERN MAINE GENERAL (NPI# 1942449129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942449129 |
| Entity Type | Organization |
| Organization Name | NORTHERN MAINE GENERAL |
| Practice Address |
3388 Aroostook Road Eagle Lake ME 04739-0310 |
| Mailing Address |
399 Washburn Rd Presque Isle ME 04769-6911 |
| Practice Telephone | 2074445152 |
| Practice Fax Number | 2074446099 |
| Mailing Telephone | 2074445152 |
| Mailing Fax Number | 2074446099 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |
| Authorized Official Name | MR. REYNOLD RAYMOND (CEO) |
| Authorized Official Telephone | 2074445152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 102850411 | 05 |
| 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 |
| 1942411319 | Northern Maine General | Community Based Residential Treatment Facility, Mental Illness | 3400 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 |
| Street Address |
3388 AROOSTOOK ROAD |
| City | EAGLE LAKE |
| State | ME |
| Zip Code | 04739-0310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073708947 | Jessica Haley | Social Worker | 3388 Aroostook Road, Eagle Lake, ME 04739 | 2007-09-13 |
| 1437488590 | Northern Maine General | Case Management | 3388 Aroostook Road, Eagle Lake, ME 04739-0310 | 2009-12-18 |
| 1679712855 | Northern Maine General | In Home Supportive Care | 3388 Aroostook Road, Eagle Lake, ME 04739-0310 | 2009-02-12 |
| 1114166394 | Northern Maine General | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3388 Aroostook Road, Eagle Lake, ME 04739-0310 | 2009-02-12 |
| 1891934097 | Northern Maine General | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3388 Aroostook Road, Eagle Lake, ME 04739-0310 | 2009-02-11 |
| 1700025954 | Northern Maine General | Day Training, Developmentally Disabled Services | 3388 Aroostook Road, Eagle Lake, ME 04739-0310 | 2009-02-11 |
| 1033372636 | Sharon M. Chasse | Physical Therapist | 3388 Aroostook Road, Eagle Lake, ME 04739 | 2008-07-03 |
| 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 |
| 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 |
| 1477625382 | Tina M Saucier I | Physical Therapist | 37 Carter Street, Eagle Lake, ME 04739 | 2006-11-15 |
| 1477920080 | Lynne Pelletier | Registered Nurse | 24 Simard Lane, Eagle Lake, ME 04739-0307 | 2015-08-31 |
| 1588699177 | Cecilia Judith Pinter | Physician Assistant | 10 Carter St., Eagle Lake, ME 04739-0309 | 2006-07-11 |
| Find all providers in zip 04739 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1114166394 | Northern Maine General | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3388 Aroostook Road, Eagle Lake, ME 04739-0310 | 2009-02-12 |
| 1891934097 | Northern Maine General | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3388 Aroostook Road, Eagle Lake, ME 04739-0310 | 2009-02-11 |
| 1669683066 | Northern Maine General | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 38 Carter St, Eagle Lake, ME 04739-0310 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033088 | Palms Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1500 Forest Ave Apt 13d, Portland, ME 04103-1846 | 2020-11-06 |
| 1588264378 | Amahoro LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 59 Starboard Dr, Cape Elizabeth, ME 04107-9647 | 2020-10-29 |
| 1194340646 | Veritas Care of Maine Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 570 Brighton Ave Ste 2, Portland, ME 04102-2355 | 2020-06-10 |
| 1497387708 | Paradise Residential Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6 Stephanie Dr, Gorham, ME 04038-1394 | 2020-02-05 |
| 1679104673 | Dynamic Alternative Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 171 Brook St, Sanford, ME 04073-2505 | 2020-01-29 |
| 1811528920 | Alternative Residential Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14 Joes Rd, Windham, ME 04062-4515 | 2020-01-28 |
| 1790321578 | Supportive Partnerships | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Fellows St, Portland, ME 04103-2414 | 2019-11-26 |
| 1437792199 | Atlantic Community Support LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 75 Bishop St Ste 13, Portland, ME 04103-2614 | 2019-10-24 |
| 1396390811 | Golden Group Home Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 40 Bernard Rd, Portland, ME 04103-3611 | 2019-08-02 |
| 1588217897 | Blue Star Homecare LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 23 Myrtle St Apt 102, Biddeford, ME 04005-3578 | 2019-07-17 |
| Find all providers with the same taxonomy | ||||
| City | EAGLE LAKE |
| Zip Code | 04739 |
Please comment or provide details below to improve the information on NORTHERN MAINE GENERAL.
| 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.