AMANDA ELIZABETH DOUGLASS (NPI# 1093214264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093214264 |
| Entity Type | Individual |
| Full Name | AMANDA ELIZABETH DOUGLASS |
| Credential | DSP,CRMA |
| Practice Address |
131 Oakland Rd Fairfield ME 04937-3229 |
| Practice Telephone | 2074539152 |
| Mailing Telephone | 2074539152 |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376748327 | Amanda S Douglass | Physical Therapist | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2007-06-19 |
| Street Address |
131 OAKLAND RD |
| City | FAIRFIELD |
| State | ME |
| Zip Code | 04937-3229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285171629 | Caroline Walsh Toto-lawrence | Technician | 258 Ridge Road, Fairfield, ME 04937 | 2017-01-24 |
| 1396144002 | Debra Ann Doody | Dental Hygienist | 294 Rt 201 - Skowhegon Road, Fairfield, ME 04937 | 2014-08-19 |
| 1922011840 | Robert Carroll Turner | Dentist | 294 Route 201, Fairfield, ME 04937 | 2006-08-14 |
| 1932152279 | Eastern Maine Homecare | Home Health | 24 Lawrence Drive, Fairfield, ME 04937 | 2006-05-18 |
| 1053387936 | Michael E Clark | Family Medicine | 4 Sheridan Drive, Fairfield, ME 04937 | 2006-02-28 |
| 1235770454 | Ronald Allan Dyer | Registered Nurse | 113 Main Street, Fairfield, ME 04937 | 2019-09-30 |
| 1780605550 | Jose Antonio Ramirez | Orthopaedic Surgery | 107 First Park Drive, Oakland, ME 04937 | 2006-07-21 |
| 1043274046 | James Earl Dunlap | Family Medicine | 4 Sheridan Drive, Fairfield, ME 04937 | 2006-04-14 |
| 1083942684 | Christine Marie Stevens-sheehan | Counselor | 66 Western Ave, Fairfield, ME 04937-0378 | 2009-11-20 |
| 1295953743 | Tania Coy Gardiner Hassard | Optometrist | 30 Main St, Fairfield, ME 04937-1120 | 2007-04-22 |
| Find all providers in zip 04937 | ||||
| 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 |
|---|---|---|---|---|
| 1902017064 | Nimfa Realeza Punzalan | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3313 El Pinole Way, Fairfield, CA 94533-7208 | 2007-05-24 |
| 1235349291 | Greenfields Intermediate Care Facility | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2673 Vista Bonita, Fairfield, CA 94534-1729 | 2007-05-22 |
| 1124431689 | Greenfields Icf-ddn | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2673 Vista Bonita, Fairfield, CA 94534-1729 | 2014-06-03 |
| 1730360082 | Paradise Valley Icf-ddh | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3313 El Pinole Way, Fairfield, CA 94533-7208 | 2007-11-15 |
| 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 | ||||
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| 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.