MAS HOME CARE OF NAME (NPI# 1558647461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558647461 |
| Entity Type | Organization |
| Organization Name | MAS HOME CARE OF NAME |
| Practice Address |
360 Harlow St Bangor ME 04401-4908 |
| Practice Telephone | 2075619533 |
| Practice Fax Number | 2075619538 |
| Mailing Telephone | 2075619533 |
| Mailing Fax Number | 2075619538 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |
| Authorized Official Name | MR. KEN JOHNSON (VICE-PRESIDENT) |
| Authorized Official Telephone | 16032960953 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MC12138 | ME | Agencies |
| Street Address |
360 HARLOW ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467679159 | Karen M Polley | Social Worker | 360 Harlow St, Bangor, ME 04401-4908 | 2007-04-20 |
| 1558604603 | Cynthia Whitcomb | Social Worker | 360 Harlow St, Bangor, ME 04401-4908 | 2013-03-27 |
| 1962782615 | Susan Jean Perkins | Counselor | 360 Harlow St, Bangor, ME 04401-4908 | 2011-08-26 |
| 1598044620 | Simone Elisabeth Cromwell | Marriage & Family Therapist | 360 Harlow St, Bangor, ME 04401-4908 | 2011-08-07 |
| 1326379785 | Linda Coro | Specialist/Technologist | 360 Harlow St, Bangor, ME 04401-4908 | 2010-01-26 |
| 1790019099 | Erica A Mcdougal | Social Worker | 360 Harlow St, Bangor, ME 04401-4908 | 2009-09-21 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629530530 | Fraser Clinical Consultation Services, LLC | Community/Behavioral Health | 96 Harlow St Ste 214, Bangor, ME 04401-4981 | 2019-04-01 |
| 1134632870 | Penobscot Community Health Center | Community/Behavioral Health | 85 Hammond St, Bangor, ME 04401-4913 | 2017-11-15 |
| 1548512114 | Communty Care | Community/Behavioral Health | 40 Summer, Community Care, Bangor, ME 04401-3105 | 2012-10-08 |
| 1285906412 | Families United | Community/Behavioral Health | 304 Hancock St. Suite 2c, Bangor, ME 04401 | 2012-02-03 |
| 1841436128 | Bangor Health Center | Community/Behavioral Health | 803 West Arlington Street, Bangor, MI 49013-1108 | 2008-12-17 |
| 1215102850 | Cornerstone Behavioral Healthcare, LLC | Community/Behavioral Health | 157 Park Street, Suite 5, Bangor, ME 04401-5000 | 2008-04-24 |
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1770799306 | Metro Treatment of Maine Lp | Community/Behavioral Health | 659 Hogan Rd, Bangor, ME 04401-3626 | 2007-05-14 |
| 1437370277 | Care Development of Maine | Community/Behavioral Health | 51 4th St, Bangor, ME 04401-6140 | 2007-05-01 |
| 1851432041 | New Life Mission | Community/Behavioral Health | 202 Exchange St, Bangor, ME 04401-6508 | 2007-02-09 |
| Find all providers in BANGOR | ||||
Please comment or provide details below to improve the information on MAS HOME CARE OF NAME.
| 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.