Active NPI
Karen Holbrook
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Auburn, ME
National Provider Identifier
1043481310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- KAREN HOLBROOK
- Practice address
- 193 Black Cat Rd
Auburn, ME 04210 - Phone
- (207) 576-0292
- NPI assigned
- Mar 14, 2008
- 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
- Mrs. Karen J Holbrook
- Title
- Provider
- Phone
- (207) 576-0292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
193 Black Cat Rd
Auburn, ME 04210
Mailing address
PO Box 137
Danville, ME 04223-0137
Phone (207) 576-0292
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205452800000",
"number": "1043481310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 137",
"city": "DANVILLE",
"state": "ME",
"postal_code": "042230137",
"telephone_number": "207-576-0292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 BLACK CAT RD",
"city": "AUBURN",
"state": "ME",
"postal_code": "04210",
"telephone_number": "207-576-0292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREN HOLBROOK",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-14",
"last_updated": "2008-03-14",
"status": "A",
"authorized_official_last_name": "HOLBROOK",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "207-576-0292",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.