CHARITY RESIDENTIAL CARE LLC (NPI# 1477199214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477199214 |
| Entity Type | Organization |
| Organization Name | CHARITY RESIDENTIAL CARE LLC |
| Practice Address |
159 Oxford St Apt 101 Portland ME 04101-3193 |
| Mailing Address |
Po Box 8531 Portland ME 04104-8531 |
| Practice Telephone | 2075181556 |
| Mailing Telephone | 2075181556 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Authorized Official Name | JOLLY KAMPEMANA (CEO) |
| Authorized Official Telephone | 2075181556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Street Address |
159 OXFORD ST APT 101 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-3193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093143141 | Pro-step Rehab | Residential Treatment Facility, Physical Disabilities | 11325 Ne Weidler St, Portland, OR 97220-1950 | 2013-10-29 |
| 1154669679 | Loren Beth Michelson | Residential Treatment Facility, Physical Disabilities | 4531 Se Belmont St, Portland, OR 97215-1675 | 2013-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669932323 | Shepherd Care, LLC | Residential Treatment Facility, Physical Disabilities | 560 Main St Apt 1, South Portland, ME 04106-5409 | 2019-03-20 |
| 1124595764 | Safe Residential Care, LLC | Residential Treatment Facility, Physical Disabilities | 36 Patrick Dr, Westbrook, ME 04092-4807 | 2018-11-01 |
| 1861869257 | Daniel Szocik | Residential Treatment Facility, Physical Disabilities | 49 Highland Ave, Livermore Falls, ME 04254-1425 | 2015-09-01 |
| 1952629214 | Bucksport Physical Therapy, LLC | Residential Treatment Facility, Physical Disabilities | 34 Us Route 1, Bucksport, ME 04416-0901 | 2010-05-12 |
| 1922337203 | Emilio Estates, Inc | Residential Treatment Facility, Physical Disabilities | 465 W Corinth Rd, Corinth, ME 04427-3144 | 2009-12-15 |
| 1508952771 | Lincolnhealth Coves Edge | Residential Treatment Facility, Physical Disabilities | 51 Schooner St, Damariscotta, ME 04543-4055 | 2006-10-05 |
| 1417043688 | Lincolnhealth Coves Edge | Residential Treatment Facility, Physical Disabilities | 51 Schooner St, Damariscotta, ME 04543-4055 | 2006-10-05 |
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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.