PREBLE STREET (NPI# 1629375621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629375621 |
| Entity Type | Organization |
| Organization Name | PREBLE STREET |
| Other Organization Name | PREBLE STREET - FLORENCE HOUSE |
| Practice Address |
190 Valley St Portland ME 04102-3076 |
| Mailing Address |
Po Box 1459 Portland ME 04104-1459 |
| Practice Telephone | 2076994393 |
| Practice Fax Number | 2075532175 |
| Mailing Telephone | 2077750026 |
| Mailing Fax Number | 2078423614 |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |
| Authorized Official Name | MARK SWANN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2077750026 |
| Is Organization Subpart | Y |
| Parent Organization Name | PREBLE STREET |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| Preble Street - Florence House | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407206287 | Preble Street | Case Management | 38 Preble St, Portland, ME 04101-4952 | 2016-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PREBLE STREET HARDWARE & SUPPLY CO., INC. | 73 Preble St, S Boston, MA 02127 |
| Street Address |
190 VALLEY ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-3076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| 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.