PREBLE STREET RESOURCE CENTER - LOGAN PLACE (NPI# 1578713897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578713897 |
| Entity Type | Organization |
| Organization Name | PREBLE STREET RESOURCE CENTER - LOGAN PLACE |
| Practice Address |
52 Fredric Street Portland ME 04104 |
| Mailing Address |
P.o. Box 1459 Portland ME 04104 |
| Practice Telephone | 2077750026 |
| Practice Fax Number | 2078423614 |
| Mailing Telephone | 2077750026 |
| Mailing Fax Number | 2078423614 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | MARK SWANN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2077750026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 431576201 | 05 |
| Street Address |
52 FREDRIC STREET |
| City | PORTLAND |
| State | ME |
| Zip Code | 04104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902278294 | Daniel Nere | In Home Supportive Care | One Pleasant Street, Portland, ME 04104 | 2015-10-26 |
| 1932431798 | The Root Cellar | Public Health or Welfare | 94 Washington St., Portland, ME 04104 | 2010-02-04 |
| 1871744839 | Preble Street Resource Center - Adult Site | Case Management | 18 Portland Street, Portland, ME 04104 | 2008-10-08 |
| 1740340132 | Woodfords Family Services | Community/Behavioral Health | 1037r Forest Ave, Portland, ME 04104 | 2006-12-08 |
| 1679668156 | Kevin Joseph Sommer | Pharmacist | 331 Veranda Street, Portland, ME 04104 | 2006-10-03 |
| 1164533766 | Charles Waite Maclin | Counselor | 39 Deering St, Portland, ME 04104 | 2006-08-31 |
| 1730166703 | Rhonda G Feldman | Physician Assistant | 5 Buckman Road Suit 1d, Mmp Orthopedics and Joint Specialist, Falmouth, ME 04104 | 2005-12-29 |
| 1437448826 | Catholic Charities of Maine | Social Worker | 66 State St, Portland, ME 04104 | 2011-04-06 |
| 1366474611 | Martins Point Healthcare | Family Medicine | 331 Veranda St, Portland, ME 04104 | 2006-07-07 |
| 1790955730 | Gail Elizabeth Clinton | Psychiatry & Neurology | 66 State St, Portland, ME 04104-3751 | 2008-03-05 |
| Find all providers in zip 04104 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1568901908 | Usa Family Well Being Services LLC | Case Management | 500 Forest Ave Ste 6, Portland, ME 04101-1520 | 2017-02-17 |
| 1568900108 | New England Integrated Living Support | Case Management | 228 Sherwood St, 2, Portland, ME 04103-5026 | 2017-02-02 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1407206287 | Preble Street | Case Management | 38 Preble St, Portland, ME 04101-4952 | 2016-06-13 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1619333846 | Maine Pretrial Services, Inc. | Case Management | 175 Lancaster St Ste 305, Portland, ME 04101-2451 | 2016-01-04 |
| 1558744862 | Innerlight Healing Arts | Case Management | 3128 Se 45th Ave, Portland, OR 97206-2205 | 2015-07-06 |
| 1396128765 | Maine State Interpreters | Case Management | 237 Oxford St Ste 26c, Portland, ME 04101-3190 | 2015-07-03 |
| 1205228590 | Pine Tree Commuinty Services, LLC | Case Management | 171 Warren Ave, Portland, ME 04103-1103 | 2015-02-24 |
| Find all providers in PORTLAND | ||||
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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.