- Practice location
- 123 Wright Street, Von Buren, ME 04785
- Phone
- 207-868-5180
- Fax
- 207-868-7781
- Last updated
- March 6, 2009
St Jude'S Foster Home is a healthcare organization based in Von Buren, ME. St Jude'S Foster Home practices in Von Buren, ME. The NPI Number for St Jude'S Foster Home is 1114168945. The current practice location address for St Jude'S Foster Home is 123 Wright Street, Von Buren, ME 04785 and can be reached out via phone at 207-868-5180 and via fax at 207-868-7781.
Provider Profile Details
- NPI Number
- 1114168945
- Provider Name
- St Jude'S Foster Home
- Provider Entity Type
- Organization
- Address
- 123 Wright Street, Von Buren, ME 04785
- Phone Number
- 207-868-5180
- Fax Number
- 207-868-7781
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Judy D Gagnon · Foster Home Operator · 207-868-5180
- Other Names
- Judy Gagnon (Other Name)
- Provider Enumeration Date
- March 6, 2009
- Last Update Date
- March 6, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 123 Wright Street
Von Buren, ME 04785 - City
- Von Buren
- State
- Maine
- Zip
- 04785
- Phone Number
- 207-868-5180
- Fax Number
- 207-868-7781
Provider Business Mailing Address Details
- Address
- 123 Wright Street
Von Buren, ME 04785 - City
- Von Buren
- State
- ME
- Zip
- 04785
- Phone Number
- 207-868-5180
- Fax Number
- 207-868-7781
License Information
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers near Von Buren, ME
View all Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Von Buren →Frequently Asked Questions
What is the NPI number of St Jude'S Foster Home?
The NPI number of St Jude'S Foster Home is 1114168945. It was assigned on March 6, 2009 and is currently active in the NPPES registry.
What is the specialty of St Jude'S Foster Home?
St Jude'S Foster Home is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does St Jude'S Foster Home practice?
The practice location is 123 Wright Street, Von Buren, ME 04785. The office can be reached at 207-868-5180 (phone) or 207-868-7781 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114168945 directly on the NPPES registry website.