MANNA INC. (NPI# 1649614728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649614728 |
| Entity Type | Organization |
| Organization Name | MANNA INC. |
| Practice Address |
629 Main St Bangor ME 04401-6848 |
| Practice Telephone | 2079902870 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |
| Authorized Official Name | WILLIAM RAE (CEO) |
| Authorized Official Telephone | 2079902870 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CAC4065 | ME | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205273786 | Manna Inc. | Substance Abuse Rehabilitation Facility | 629 Main St, Bangor, ME 04401-6848 | 2013-05-24 |
| 1912090846 | Manna Inc. | Family Medicine | 1048 Union St Ste 5, Bangor, ME 04401-8601 | 2006-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MANNA INC | 1992 Brewer Ave, Eugene, OR 97401 |
| Indiana Business Entities | MANNA INC. | 1818 E. Co. Rd. 750 S., Versailles, IN 47042 |
| Street Address |
629 MAIN ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588647838 | David E.a. Presutte | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2005-11-21 |
| 1104267954 | Ronda Anderson | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2013-07-09 |
| 1205273786 | Manna Inc. | Substance Abuse Rehabilitation Facility | 629 Main St, Bangor, ME 04401-6848 | 2013-05-24 |
| 1437442894 | Holly Ann Merchant | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2011-05-18 |
| 1780986315 | Jeremy Matthew Crockett | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2010-12-02 |
| 1316255706 | Casey E Harris | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2010-09-20 |
| 1568786499 | Amy Richard | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2010-03-22 |
| 1760665251 | Ardis L White | Counselor | 629 Main St, Bangor, ME 04401-6878 | 2007-12-07 |
| 1699962258 | Aimee Michelle Cyr | Counselor | 629 Main St, Bangor, ME 04401-6878 | 2007-09-27 |
| 1760497200 | Manna Inc | Clinic/Center | 629 Main St, Bangor, ME 04401-6848 | 2006-07-31 |
| Find all providers in the same location | ||||
| 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 | ||||
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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.