- Practice location
- 17 Charlonate Dr, Gray, ME 04039-9765
- Phone
- 202-981-2408
- Fax
- —
- Last updated
- November 28, 2024
Promise Residential Care LLC is a healthcare organization based in Gray, ME. Promise Residential Care LLC practices in Gray, ME. The NPI Number for Promise Residential Care LLC is 1679399232. The current practice location address for Promise Residential Care LLC is 17 Charlonate Dr, Gray, ME 04039-9765 and can be reached out via phone at 202-981-2408.
Provider Profile Details
- NPI Number
- 1679399232
- Provider Name
- Promise Residential Care LLC
- Provider Entity Type
- Organization
- Address
- 17 Charlonate Dr, Gray, ME 04039-9765
- Phone Number
- 202-981-2408
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Mr. Patrick Kayiranga Benerugaba · Ceo · 202-981-2408
- Provider Enumeration Date
- November 28, 2024
- Last Update Date
- November 28, 2024
- Certification Date
- November 28, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Charlonate Dr
Gray, ME 04039-9765 - City
- Gray
- State
- Maine
- Zip
- 04039-9765
- Phone Number
- 202-981-2408
Provider Business Mailing Address Details
- Address
- 17 Charlonate Dr
Gray, ME 04039-9765 - City
- Gray
- State
- ME
- Zip
- 04039-9765
- Phone Number
- 202-981-2408
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 Gray, ME
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Frequently Asked Questions
What is the NPI number of Promise Residential Care LLC?
The NPI number of Promise Residential Care LLC is 1679399232. It was assigned on November 28, 2024 and is currently active in the NPPES registry.
What is the specialty of Promise Residential Care LLC?
Promise Residential Care LLC is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).
Where does Promise Residential Care LLC practice?
The practice location is 17 Charlonate Dr, Gray, ME 04039-9765. The office can be reached at 202-981-2408 (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 1679399232 directly on the NPPES registry website.