MCKAYLA DIANE SOUCY (NPI# 1982244570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982244570 |
| Entity Type | Individual |
| Full Name | MCKAYLA DIANE SOUCY |
| Credential | CRMA, DSP, CNA |
| Practice Address |
168 Main St Van Buren ME 04785-1238 |
| Practice Telephone | 2078684226 |
| Mailing Telephone | 2078684226 |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
168 MAIN ST |
| City | VAN BUREN |
| State | ME |
| Zip Code | 04785-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679944490 | Kristin Theriault | Social Worker | 358 Hamlin Rd, Hamlin, ME 04785 | 2015-10-20 |
| 1508188517 | Myles Peter Ouellette | Massage Therapist | 204 Champlain St, Van Buren, ME 04785 | 2010-02-17 |
| 1336380443 | Ouellette Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 162 State Street, Van Buren, ME 04785 | 2009-03-19 |
| 1114168945 | St Jude's Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 123 Wright Street, Von Buren, ME 04785 | 2009-03-06 |
| 1184852022 | Bernadette Fortin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 144 High St, Van Buren, ME 04785 | 2009-06-30 |
| 1245754209 | Walgreen Co | Pharmacy | 21 Main St, Van Buren, ME 04785-1008 | 2017-08-01 |
| 1760761134 | Katie Daigle | Pharmacist | 21 Main St, Van Buren, ME 04785-1008 | 2011-08-16 |
| 1174814396 | Marion Brett Felty | Pharmacist | 21 Main St, Van Buren, ME 04785-1008 | 2011-04-21 |
| 1851462931 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 21 Main Street, Van Buren, ME 04785-1008 | 2006-11-13 |
| 1366051666 | Lindsey Desrosier | Nurse Practitioner | 4 Main St, Van Buren, ME 04785-1009 | 2020-07-23 |
| Find all providers in zip 04785 | ||||
| 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 |
|---|---|---|---|---|
| 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 MCKAYLA DIANE SOUCY.
| 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.