Active NPIOrganization

Great Residential Home Care LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Portland, Maine

NPI Number1295321487
Practice location
238 Auburn St Apt D37, Portland, ME 04103-2150
Fax
—
Last updated
December 12, 2020

Great Residential Home Care LLC is a healthcare organization based in Portland, ME. Great Residential Home Care LLC practices in Portland, ME. The NPI Number for Great Residential Home Care LLC is 1295321487. The current practice location address for Great Residential Home Care LLC is 238 Auburn St Apt D37, Portland, ME 04103-2150 and can be reached out via phone at 207-518-1535.

Provider Profile Details

NPI Number
1295321487
Provider Name
Great Residential Home Care LLC
Provider Entity Type
Organization
Address
238 Auburn St Apt D37, Portland, ME 04103-2150
Phone Number
207-518-1535
Organization Subpart
No
Authorized Official
Mr. Joseph Bizimana, DSP · Ceo · 207-518-1535
Provider Enumeration Date
December 12, 2020
Last Update Date
December 12, 2020
Certification Date
December 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
238 Auburn St Apt D37
Portland, ME 04103-2150
State
Maine
Zip
04103-2150
Phone Number
207-518-1535
Portland, ME 04103Get directions →

Provider Business Mailing Address Details

Address
238 Auburn St Apt D37
Portland, ME 04103-2150
City
Portland
State
ME
Zip
04103-2150
Phone Number
207-518-1535

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers near Portland, ME

View all Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Portland →

Frequently Asked Questions

What is the NPI number of Great Residential Home Care LLC?

The NPI number of Great Residential Home Care LLC is 1295321487. It was assigned on December 12, 2020 and is currently active in the NPPES registry.

What is the specialty of Great Residential Home Care LLC?

Great Residential Home Care LLC is registered under the primary taxonomy Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320600000X).

Where does Great Residential Home Care LLC practice?

The practice location is 238 Auburn St Apt D37, Portland, ME 04103-2150. The office can be reached at 207-518-1535 (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 1295321487 directly on the NPPES registry website.

Browse related providers