Active NPI
Lisungi Group Home LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Westbrook, ME
National Provider Identifier
1043086812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- LISUNGI GROUP HOME LLC
- Practice address
- 18 Everett St
Westbrook, ME 04092-3013 - Phone
- (207) 409-8837
- NPI assigned
- Dec 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Bobe, RN
- Title
- Chief Executive Officer (Ceo)
- Phone
- (207) 409-8837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
18 Everett St
Westbrook, ME 04092-3013
Mailing address
18 Everett St
Westbrook, ME 04092-3013
Phone (207) 409-8837
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701993600000",
"number": "1043086812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 EVERETT ST",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923013",
"telephone_number": "207-409-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 EVERETT ST",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040923013",
"telephone_number": "207-409-8837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISUNGI GROUP HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-01",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A",
"authorized_official_last_name": "BOBE",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER (CEO)",
"authorized_official_telephone_number": "207-409-8837",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.