GREEN VALLEY ASSOCIATION (NPI# 1437295359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437295359 |
Entity Type | Organization |
Organization Name | GREEN VALLEY ASSOCIATION |
Practice Address |
13 Gardner Street Patten ME 04765 |
Mailing Address |
Po Box 127 Island Falls ME 04747-0127 |
Practice Telephone | 2075282064 |
Practice Fax Number | 2074632151 |
Mailing Telephone | 2074632156 |
Mailing Fax Number | 2074632151 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2009-01-12 |
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 2244 | ME | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 104300300 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407904956 | Green Valley Association | Community/Behavioral Health | 69 David Street, Island Falls, ME 04747-0127 | 2007-01-08 |
1144378795 | Green Valley Association | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Sewall 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 |
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 GARDNER STREET |
City | PATTEN |
State | ME |
Zip Code | 04765 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518022151 | Green Valley Association | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Gardner Street, Patten, ME 04765 | 2006-12-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285043869 | Angela Anderson | Registered Nurse | 30 Houlton St., Patten, ME 04765 | 2014-08-07 |
1649404609 | Randall S Roberts | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 52 Gardner Street, Apt A, Patten, ME 04765 | 2009-05-06 |
1386878346 | Kimberly Iverne Rodriguez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 52 Gardiner Street, Patten, ME 04765 | 2009-05-06 |
1528260783 | Town of Patten | Ambulance | 27 Dearborn St., Patten, ME 04765 | 2007-06-01 |
1700941333 | Green Valley Association | Day Training, Developmentally Disabled Services | 69 David St, Island Falls, ME 04765 | 2006-12-26 |
1639230113 | Chandler Bay Group, Inc | Skilled Nursing Facility | 83 Houlton Road, Patten, ME 04765 | 2006-12-12 |
1811917545 | Denise M Marquis | Nurse's Aide | 30 Houlton Street, Patten, ME 04765 | 2006-07-19 |
1609824747 | Ronald I Blum | Specialist | 17 Founders Street, Patten, ME 04765 | 2006-05-04 |
1699770222 | Rose M Fuchs | Family Medicine | 17 Founders St, Patten, ME 04765 | 2005-06-20 |
1720648116 | Crystal Holly Pipes | Registered Nurse | 529 S Patten Rd, Patten, ME 04765 | 2019-06-18 |
Find all providers in zip 04765 |
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 |
---|---|---|---|---|
1649404609 | Randall S Roberts | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 52 Gardner Street, Apt A, Patten, ME 04765 | 2009-05-06 |
1386878346 | Kimberly Iverne Rodriguez | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 52 Gardiner Street, Patten, ME 04765 | 2009-05-06 |
1518022151 | Green Valley Association | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Gardner Street, Patten, ME 04765 | 2006-12-26 |
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 |
Please comment or provide details below to improve the information on GREEN VALLEY ASSOCIATION.
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.