1922387109 NPI number — CARING FAMILIES, INC

Table of content: (NPI 1922387109)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922387109 NPI number — CARING FAMILIES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARING FAMILIES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922387109
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/05/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
179 LISBON ST STE 2
Provider Second Line Business Mailing Address:
P.O.BOX 1408
Provider Business Mailing Address City Name:
LEWISTON
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04240-7248
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-786-3554
Provider Business Mailing Address Fax Number:
207-786-8507

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
45 BROOKSIDE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LIVERMORE FALLS
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04254-4121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-897-0999
Provider Business Practice Location Address Fax Number:
207-897-9996
Provider Enumeration Date:
08/05/2011

Additional Information

Authorized Official

Authorized Official Last Name:
CYR
Authorized Official First Name:
GLEN
Authorized Official Middle Name:
G
Authorized Official Title or Position:
VP FINANCE
Authorized Official Telephone Number:
207-786-3554

Provider Taxonomy Codes

  • Taxonomy code: 315P00000X , with the licence number:  37445 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 37445 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".




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