COMMUNITY LIVING ASSOCIATION NPI 1144274564

NPI Information

NPI: 1144274564
Provider Name: COMMUNITY LIVING ASSOCIATION
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
45 SCHOOL ST
HOULTON, ME
ZIP 04730
Phone: (207) 532-9446
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COMMUNITY LIVING ASSOCIATION is a nursing care in Houlton, ME. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. COMMUNITY LIVING ASSOCIATION NPI is 1144274564. The provider is registered as an organization entity type.

The provider's business location address is:

45 SCHOOL ST
HOULTON, ME
ZIP 04730-010
Phone: (207) 532-9446
Fax: (207) 532-1359

The provider's authorized official is Shannon Jon Hogan .
The authorized official title is Finance Manager and has the following contact phone number (207) 532-9446.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 6/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	36310	MAINE	No
2	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	ALLS2160	MAINE	No
3	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	ALLS2161	MAINE	No
4	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	ALLS1110	MAINE	No
5	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	ALLS2148	MAINE	No
6	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	ALLS2155	MAINE	No
7	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	ALLS2154	MAINE	No
8	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	ALLS2193	MAINE	No
9	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	ALLS2147	MAINE	No
10	251J00000X	Nursing Care	36274	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	104190205	MEDICAID	MAINE
2	104190000	MEDICAID	MAINE
3	104190200	MEDICAID	MAINE
4	431576700	MEDICAID	MAINE
5	104190208	MEDICAID	MAINE
6	104190210	MEDICAID	MAINE
7	104190201	MEDICAID	MAINE
8	104190203	MEDICAID	MAINE
9	104190204	MEDICAID	MAINE
10	104190206	MEDICAID	MAINE
11	104190101	MEDICAID	MAINE
12	104190207	MEDICAID	MAINE
13	104190209	MEDICAID	MAINE
14	104190100	MEDICAID	MAINE
15	104190202	MEDICAID	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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