GREEN VALLEY ASSOCIATION (NPI# 1144378795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144378795 |
| Entity Type | Organization |
| Organization Name | GREEN VALLEY ASSOCIATION |
| Practice Address |
13 Sewall Street Island Falls ME 04747-0127 |
| Mailing Address |
Po Box 127 Island Falls ME 04747-0127 |
| Practice Telephone | 2074632823 |
| Practice Fax Number | 2074632151 |
| Mailing Telephone | 2074632823 |
| Mailing Fax Number | 2074632151 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ERIC C QUINT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2074632156 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | ALLS 2245 | ME | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407904956 | Green Valley Association | Community/Behavioral Health | 69 David Street, Island Falls, ME 04747-0127 | 2007-01-08 |
| 1700941333 | Green Valley Association | Day Training, Developmentally Disabled Services | 69 David St, Island Falls, ME 04765 | 2006-12-26 |
| 1518022151 | Green Valley Association | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Gardner Street, Patten, ME 04765 | 2006-12-26 |
| 1437295359 | Green Valley Association | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Gardner Street, Patten, ME 04765 | 2007-01-29 |
| 1306994892 | Green Valley Association | Day Training, Developmentally Disabled Services | 69 David St, Island Falls, ME 04747-0127 | 2007-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | GREEN VALLEY ASSOCIATION | 26955 Stagecoach Rd, Conifer, CO 80433 |
| Street Address |
13 SEWALL STREET |
| City | ISLAND FALLS |
| State | ME |
| Zip Code | 04747-0127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982957544 | Nancy L Williams | Speech-Language Pathologist | 922 Dyerbrook Rd, Southern Aroostook Community School Rsu 50, Dyerbrook, ME 04747 | 2012-10-19 |
| 1457421307 | Katahdin Valley Health Center | Clinic/Center | 1300 Crystal Road, Island Falls, ME 04747 | 2006-11-08 |
| 1477577039 | Town of Island Falls | Ambulance | 61 Houlton Street, Island Falls, ME 04747 | 2006-07-27 |
| 1932431871 | Sharon R Walker | Registered Nurse | 1300 Crystal Rd, Island Falls, ME 04747-0013 | 2010-02-03 |
| 1407904956 | Green Valley Association | Community/Behavioral Health | 69 David Street, Island Falls, ME 04747-0127 | 2007-01-08 |
| 1306994892 | Green Valley Association | Day Training, Developmentally Disabled Services | 69 David St, Island Falls, ME 04747-0127 | 2007-01-08 |
| 1598706970 | Lisa Nielsen | Family Medicine | 1300 Crystal Rd, Island Falls, ME 04747-4369 | 2006-06-09 |
| 1295013365 | Nicki J Larrabee | Nurse Practitioner | 1300 Crystal Rd, Island Falls, ME 04747-4369 | 2011-07-23 |
| 1598994972 | Martha M Coursey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 867 Sherman St, Island Falls, ME 04747-4413 | 2009-07-07 |
| 1083040703 | Grace L. Grant | Counselor | 66 Sherman St, Island Falls, ME 04747-4415 | 2013-09-26 |
| Find all providers in zip 04747 | ||||
| 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 |
|---|---|---|---|---|
| 1598994972 | Martha M Coursey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 867 Sherman St, Island Falls, ME 04747-4413 | 2009-07-07 |
| 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 | ||||
| City | ISLAND FALLS |
| Zip Code | 04747 |
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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.