GREAT BAY SERVICES (NPI# 1952796864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952796864 |
| Entity Type | Organization |
| Organization Name | GREAT BAY SERVICES |
| Practice Address |
294 York St York ME 03909-1006 |
| Mailing Address |
2061 Woodbury Ave Newington NH 03801-2804 |
| Practice Telephone | 6034362014 |
| Practice Fax Number | 6034363063 |
| Mailing Telephone | 6034362014 |
| Mailing Fax Number | 6034363063 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |
| Authorized Official Name | DAWN LEWIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6034362014 |
| 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 | ALLS2515 | ME | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427417104 | Great Bay Services | Intermediate Care Facility, Mentally Retarded | 23 Cataract Ave, Dover, NH 03820-3908 | 2016-02-23 |
| 1245626316 | Great Bay Services | Home Health | 61 Washington St Ste 4, Sanford, ME 04073-3093 | 2015-04-15 |
| 1780827881 | Great Bay Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2061 Woodbury Ave, Newington, NH 03801-2804 | 2009-04-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | GREAT BAY SERVICES L.L.C. | 40 Colvin Avenue Suite 200, Albany, Ny 12206 |
| Street Address |
294 YORK ST |
| City | YORK |
| State | ME |
| Zip Code | 03909-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206049 | Kristina Nicole Scangas | Physician Assistant | 3 Loving Kindness Way, York, ME 03909 | 2019-10-16 |
| 1467923540 | St. Georges Childcare Center | Clinic/Center | 407 York Street, York Harbor, ME 03909 | 2018-12-16 |
| 1518398023 | Jm Dental PC | Dentist | 433 F Us Route 1, Suite 107, York, ME 03909 | 2013-12-09 |
| 1043554405 | Jennifer Helen Gustafson | Occupational Therapist | 3 Whittier Way, York, ME 03909 | 2012-11-24 |
| 1720351240 | Kimberly Trafton | Acupuncturist | 272 York Street, York, ME 03909 | 2012-02-14 |
| 1518237767 | Jill Ann Colton-spina | Registered Nurse | 32 York Street, Psychiatry Associates of York Hospital, York, ME 03909 | 2012-01-05 |
| 1497980650 | York Family Dental | Dentist | 433f Us Route 1, Cottage Place Suite 107, York, ME 03909 | 2009-05-18 |
| 1356590947 | Susan A. Emerson | Occupational Therapist | 41 Brixham Rd., York, ME 03909 | 2008-09-18 |
| 1316122252 | John Wendelin Anderer | Dentist | 433 F Us Route 1 Cottage Place John Anderer D.d.s., 107, York, ME 03909 | 2008-01-09 |
| 1720296486 | Town of York/york School Department | Local Education Agency (LEA) | 469 U.S. Route One, York, ME 03909 | 2007-05-18 |
| Find all providers in zip 03909 | ||||
| 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 |
|---|---|---|---|---|
| 1184826380 | York County Board of Disabilities & Special Needs | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7900 Park Place Rd, York, SC 29745-7476 | 2007-06-01 |
| 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 | ||||
Please comment or provide details below to improve the information on GREAT BAY SERVICES.
| 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.