OHI (NPI# 1427121243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427121243 |
| Entity Type | Organization |
| Organization Name | OHI |
| Other Organization Name | HOME BASED WAIVER |
| Practice Address |
203 Maine Ave Bangor ME 04401-4331 |
| Practice Telephone | 2078485804 |
| Practice Fax Number | 2079894050 |
| Mailing Telephone | 2078485804 |
| Mailing Fax Number | 2079894050 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | MS. BONNIE JEAN BROOKS (C.E.O.) |
| Authorized Official Telephone | 2076051199 |
| Is Organization Subpart | Y |
| Parent Organization Name | OHI |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 109800201 | 05 | |
| ME | 109800205 | 05 | |
| ME | 109800217 | 05 | |
| ME | 109800206 | 05 | |
| ME | 109800207 | 05 | |
| ME | 109800209 | 05 | |
| ME | 109800213 | 05 | |
| ME | 109800216 | 05 | |
| ME | 109800208 | 05 | |
| ME | 109800220 | 05 | |
| ME | 109800219 | 05 | |
| ME | 109800200 | 05 | |
| ME | 109800214 | 05 | |
| ME | 109800204 | 05 | |
| ME | 109800215 | 05 |
| Other Name | Type Code |
|---|---|
| Home Based Waiver | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558839969 | Ohi | Community/Behavioral Health | 190 Main St, Ellsworth, ME 04605-1919 | 2018-11-05 |
| 1447514526 | Ohi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 Freedom Pkwy, Hermon, ME 04401-1100 | 2012-07-03 |
| 1720153836 | Ohi | Community Based Residential Treatment Facility, Mental Illness | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-22 |
| 1457426561 | Ohi | Community/Behavioral Health | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-22 |
| 1366517476 | Ohi | Case Management | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-22 |
| 1548335656 | Ohi | Day Training, Developmentally Disabled Services | 25 Freedom Pkwy, Hermon, ME 04401-1100 | 2006-11-22 |
| 1497820807 | Ohi | Residential Treatment Facility, Emotionally Disturbed Children | 25 Freedom Pkwy, Hermon, ME 04401-1100 | 2006-11-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | OHI & RAHI FASHIONS INC. | 173-17 89th Avenue, Apt 1b, Jamaica, Ny 11432 |
| Vermont Business Registrations | OHI (CONNECTICUT), INC. | 200 International Circle #3500, Hunt Valley, MD 21030 |
| Vermont Business Registrations | OHI (CONNECTICUT), LLC | 200 International Circle, Suite 3500, Hunt Valley, MD 21030 |
| Connecticut Business Registrations | OHI (CONNECTICUT), LLC | 200 International Circle #3500, Hunt Valley, MD 21030 |
| Indiana Business Entities | OHI (ILLINOIS), LLC | 200 International Circle, Ste 3500, Cockeysville, MD 21030-1394 |
| Iowa Business Entities | OHI (IOWA), LLC. | 303 International Circle 200, Hunt Valley, MD 21030 |
| Indiana Business Entities | OHI ASET (IN), LLC | 200 International Circle #3500, Hunt Valley, MD 21030 |
| Colorado Business Entities | OHI Asset (CO) Brighton, LLC | 303 International Circle, Suite 200, Hunt Valley, MD 21030 |
| Colorado Business Entities | OHI Asset (CO) Denver, LLC | 303 International Circle, Suite 200, Hunt Valley, MD 21030 |
| Colorado Business Entities | OHI Asset (CO) Mesa, LLC | 303 International Circle, Suite 200, Hunt Valley, MD 21030 |
| Street Address |
203 MAINE AVE |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-4331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831627 | Margaret Knapp | Social Worker | 203 Maine Ave, Bangor, ME 04401-4331 | 2020-11-03 |
| 1720153836 | Ohi | Community Based Residential Treatment Facility, Mental Illness | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-22 |
| 1457426561 | Ohi | Community/Behavioral Health | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-22 |
| 1366517476 | Ohi | Case Management | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| 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 |
|---|---|---|---|---|
| 1063818367 | Quality Care Group Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 532 Hammond St, Bangor, ME 04401-4544 | 2014-11-13 |
| 1265644314 | Mert Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 225 Bomarc Rd., Bangor, ME 04401 | 2007-05-03 |
| 1558490706 | Resources for Human Development | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2475 Ackermanville Rd, Bangor, PA 18013-9364 | 2007-03-05 |
| 1073651691 | Marsha A. Moore | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 114 Somerset St, Bangor, ME 04401-5326 | 2007-02-03 |
| 1457498867 | U-can Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 384 Hammond St, Bangor, ME 04401-4647 | 2007-02-01 |
| 1902961782 | Kathleen Hope Rioux | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 Olive Hts, Bangor, ME 04401-6815 | 2006-12-22 |
| 1962563825 | The Getchell Agency, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 785 Mount Hope Ave, Bangor, ME 04401-5621 | 2006-12-13 |
| 1063614691 | Ucp of Northeastern Maine | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2007-06-05 |
| 1659448504 | Penquis C.a.p., Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-29 |
| 1508932898 | Penquis C.a.p., Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-28 |
| Find all providers in BANGOR | ||||
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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.