SUE SLATE (NPI# 1114258324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114258324 |
| Entity Type | Individual |
| Full Name | SUE SLATE |
| Practice Address |
976 Greenbush Rd Exeter ME 04435-3316 |
| Practice Telephone | 2073792809 |
| Mailing Telephone | 2073792809 |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
976 GREENBUSH RD |
| City | EXETER |
| State | ME |
| Zip Code | 04435-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538395058 | Familysupports | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 976 Greenbush Rd, Exeter, ME 04435-3316 | 2009-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861620106 | Laura Sholtz | Developmental Therapist | 384 Fogler Road, Exeter, ME 04435 | 2009-06-25 |
| 1962764233 | Mary-margaret Roseberry | Acupuncturist | 144 Hawk Hill Rd, Exeter, ME 04435-3009 | 2012-06-13 |
| 1043348733 | Pat Jubinville | Point of Service | 280 Cider Hill Rd, Exeter, ME 04435-3011 | 2007-03-02 |
| 1891928982 | Stormy Ivie Colbath | Dental Hygienist | 195 Cider Hill Rd, Exeter, ME 04435-3030 | 2009-08-24 |
| 1205135928 | Audrey Carney Butterfield | Dental Hygienist | 195 Cider Hill Rd, Exeter, ME 04435-3030 | 2011-03-21 |
| 1619283850 | Smiles for Life, Pa | Dental Hygienist | 195 Cider Hill Rd, Exeter, ME 04435-3030 | 2010-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104651 | Marie D Doucette | Massage Therapist | 2 Anna Louise Dr, Exeter, NH 03833-4577 | 2020-11-08 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1851998512 | Rejuvenations Professional Massage, LLC | Acupuncturist | 1 Hampton Rd Unit 304, Exeter, NH 03833-4849 | 2020-10-06 |
| 1750993929 | Michelle M. Morrow | Psychologist | 11 Court St Ste 210, Exeter, NH 03833-2745 | 2020-08-19 |
| 1063024487 | Exeter Dental Implant and Oral Surgery Center | Dentist | 21 Hampton Rd Ste 202, Exeter, NH 03833-4800 | 2020-08-18 |
| 1386255479 | Torrie Robert Lemon | Student in an Organized Health Care Education/Training Program | 41 Mckay Dr Apt 310, Exeter, NH 03833-1590 | 2020-08-12 |
| 1437760923 | Jessica Jean Long | Dietitian, Registered | 27 Epping Rd, Exeter, NH 03833-1518 | 2020-08-10 |
| 1124636840 | Swallowtail Counseling, Pllc | Clinic/Center | 41 Washington St Apt 1, Exeter, NH 03833-2044 | 2020-07-20 |
| 1538786819 | Jenna Oley | Pharmacist | 207 Sanovia St, Exeter, PA 18643-2512 | 2020-07-02 |
| 1326662032 | Carla Irene Jennison | Speech-Language Pathologist | 1 Blue Hawk Dr, Exeter, NH 03833-4429 | 2020-05-29 |
| Find all providers in EXETER | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063547651 | Veterans Place Group Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15 Veterans Place, Exeter, RI 02822-3528 | 2007-02-22 |
| 1750416798 | William Reynolds Road Group Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 80 William Reynolds Rd, Exeter, RI 02822-3512 | 2007-02-22 |
| 1942345319 | Lantern Lane Group Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 136 Lantern Ln, Exeter, RI 02822-3600 | 2007-02-21 |
| 1477698967 | Hallville Road Group Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 265 Hallville Rd, Exeter, RI 02822-3211 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585591 | Assurance Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Gracelawn Rd Apt 3, Auburn, ME 04210-6557 | 2020-10-13 |
| 1033722236 | Maine Shared Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 715 Upper St, Turner, ME 04282-3808 | 2020-08-26 |
| 1730797465 | Dirigo Support Professionals LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 176 Broad St Apt 1, Auburn, ME 04210-5610 | 2020-07-20 |
| 1154948206 | Quality Care Access, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Wayne St, Portland, ME 04102-2228 | 2020-07-05 |
| 1558987438 | Moonlight Group Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 253 Lisbon Street, Lewiston, ME 04240-7704 | 2020-06-17 |
| 1629617477 | Compass Bridges LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Arrowhead Dr, Brunswick, ME 04011-7420 | 2019-12-26 |
| 1538705637 | Grace Support Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 86 Euclid Ave, Portland, ME 04103-1240 | 2019-11-23 |
| 1467097709 | Pine Peak Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1395 Congress St, Portland, ME 04102-2120 | 2019-11-11 |
| 1306480108 | Pine Peak Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Sara Ln, Portland, ME 04103-3622 | 2019-11-05 |
| 1821648650 | Advanced Care Solutions LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 88 Knox St, Lewiston, ME 04240-7406 | 2019-09-13 |
| 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.