AWARE RECOVERY CARE OF MAINE LLC (NPI# 1326523366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326523366 |
| Entity Type | Organization |
| Organization Name | AWARE RECOVERY CARE OF MAINE LLC |
| Other Organization Name | AWARE RECOVERY CARE |
| Practice Address |
500 Southborough Dr Ste 500-202 South Portland ME 04106-6928 |
| Mailing Address |
556 Washington Ave Unit 201 North Haven CT 06473-1149 |
| Practice Telephone | 2037795799 |
| Mailing Telephone | 2037795799 |
| Mailing Fax Number | 2034216830 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-12-19 |
| Authorized Official Name | MATTHEW LANDON EACOTT (EXECUTIVE VICE PRESIDENT & COO) |
| Authorized Official Telephone | 2037795799 |
| Is Organization Subpart | Y |
| Parent Organization Name | AWARE RECOVERY CARE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Aware Recovery Care | Doing Business As Name - Organization |
| Aware Recovery Care of Maine | Doing Business As Name - Organization |
| Street Address |
500 SOUTHBOROUGH DR STE 500-202 |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-6928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174936 | El Rancho De La Vida | Substance Abuse Rehabilitation Facility | 62 Page Terrace, Fairfield, ME 04944 | 2020-05-06 |
| 1023556776 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 69 Eagle Drive, Sanford, ME 04073 | 2017-02-02 |
| 1275723371 | Outpatient Chemical Dependency Agency | Substance Abuse Rehabilitation Facility | 185 Harlow St, Bangor, ME 04401-9101 | 2007-07-26 |
| 1144432907 | Serenity House, Inc. | Substance Abuse Rehabilitation Facility | 30 Mellen St, Portland, ME 04101-2110 | 2007-05-04 |
| 1063548436 | Milestone Foundation Inc | Substance Abuse Rehabilitation Facility | 65 India St, Portland, ME 04101-4209 | 2007-02-27 |
| 1396889374 | Milestone Foundation Inc | Substance Abuse Rehabilitation Facility | 28 Portland Ave, Old Orchard Beach, ME 04064-2212 | 2007-02-16 |
| 1912538430 | The Charlie Mike Project | Substance Abuse Rehabilitation Facility | 213 W Broadway, Lincoln, ME 04457-4001 | 2020-02-03 |
| 1730673088 | Pine Tree Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 17 Bishop St, Portland, ME 04103-2659 | 2018-06-20 |
| 1568900074 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 88 Oxford St, Lewiston, ME 04240-7825 | 2017-02-03 |
| 1417494857 | Grace Street Services, LLC | Substance Abuse Rehabilitation Facility | 72 Auburn St, Portland, ME 04103-2104 | 2017-01-24 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on AWARE RECOVERY CARE OF MAINE LLC.
| 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.