Dynamic Residential Care, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Scarborough, Maine
1154139830- Practice location
- 19 Pin Oak Dr Apt 1906, Scarborough, ME 04074-8264
- Phone
- 207-518-3592
- Fax
- —
- Last updated
- December 26, 2024
Dynamic Residential Care, LLC is a healthcare organization based in Scarborough, ME. Dynamic Residential Care, LLC practices in Scarborough, ME. The NPI Number for Dynamic Residential Care, LLC is 1154139830. The current practice location address for Dynamic Residential Care, LLC is 19 Pin Oak Dr Apt 1906, Scarborough, ME 04074-8264 and can be reached out via phone at 207-518-3592.
Provider Profile Details
- NPI Number
- 1154139830
- Provider Name
- Dynamic Residential Care, LLC
- Provider Entity Type
- Organization
- Address
- 19 Pin Oak Dr Apt 1906, Scarborough, ME 04074-8264
- Phone Number
- 207-518-3592
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Mr. John Dumba Bulenga · Ceo · 207-518-3592
- Other Names
- Dynamic Residential Care, LLC (Doing Business As)
- Provider Enumeration Date
- December 26, 2024
- Last Update Date
- December 26, 2024
- Certification Date
- December 26, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Pin Oak Dr Apt 1906
Scarborough, ME 04074-8264 - City
- Scarborough
- State
- Maine
- Zip
- 04074-8264
- Phone Number
- 207-518-3592
Provider Business Mailing Address Details
- Address
- 19 Pin Oak Dr Apt 1906
Scarborough, ME 04074-8264 - City
- Scarborough
- State
- ME
- Zip
- 04074-8264
- Phone Number
- 207-518-3592
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. | |||
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Frequently Asked Questions
What is the NPI number of Dynamic Residential Care, LLC?
The NPI number of Dynamic Residential Care, LLC is 1154139830. It was assigned on December 26, 2024 and is currently active in the NPPES registry.
What is the specialty of Dynamic Residential Care, LLC?
Dynamic Residential Care, LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Dynamic Residential Care, LLC practice?
The practice location is 19 Pin Oak Dr Apt 1906, Scarborough, ME 04074-8264. The office can be reached at 207-518-3592 (phone).
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 1154139830 directly on the NPPES registry website.