MCKAY SHARED LIVING SERVICES (NPI# 1154440113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154440113 |
| Entity Type | Organization |
| Organization Name | MCKAY SHARED LIVING SERVICES |
| Practice Address |
240 Main Street Old Town ME 04468 |
| Mailing Address |
Po Box 411 Milford ME 04461 |
| Practice Telephone | 2078274710 |
| Practice Fax Number | 8664771018 |
| Mailing Telephone | 2078274710 |
| Mailing Fax Number | 8664771018 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2009-12-15 |
| Authorized Official Name | KAREN F PITTS (PROGRAM ADMINISTRATOR) |
| Authorized Official Telephone | 2072320975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 198880000 | 05 |
| Street Address |
240 MAIN STREET |
| City | OLD TOWN |
| State | ME |
| Zip Code | 04468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770730012 | Karen Laflamme Davis | Speech-Language Pathologist | 270-a Main St, Old Town, ME 04468 | 2008-08-19 |
| 1104028281 | Susan C Hoovler | Licensed Practical Nurse | 242 Brunswick St., Penobscot Community Health Center, Old Town, ME 04468 | 2007-06-01 |
| 1326251000 | City of Old Town | Local Education Agency (LEA) | 156 Oak St., Old Town, ME 04468 | 2007-05-08 |
| 1891832382 | Nancy J. Mitchell Home Trust | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Sandy Beach Lane, Indian Island, ME 04468 | 2007-01-31 |
| 1639274913 | Dianne E Kallen | Family Medicine | 252 Brunswick St, Old Town, ME 04468 | 2006-09-13 |
| 1023510898 | Riversedge Chiropractic Wellness Center LLC | Clinic/Center | 227 Main St, Old Town, ME 04468 | 2018-03-07 |
| 1275906893 | Penobscot Community Health Center | Podiatrist | 242 Brunswick St, Old Town, ME 04468 | 2015-11-04 |
| 1740670421 | Kimberly Ann Yartklang | Nurse Practitioner | 242 Brunswick St, Old Town, ME 04468 | 2015-02-02 |
| 1134350077 | Kaliope C. Parousis | Pediatrics | 242 Brunswick Street, Old Town, ME 04468 | 2009-07-27 |
| 1720216245 | Christopher L. Johnston | Family Medicine | 242 Brunswick St, Old Town, ME 04468 | 2009-06-23 |
| Find all providers in zip 04468 | ||||
| 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 |
|---|---|---|---|---|
| 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.