Pledge Residential Care

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PLEDGE RESIDENTIAL CARE

Practice address

720 Fort Hill Rd
Gorham, ME 04038-2262

Phone

(207) 408-7193

Fax

(207) 222-0005

NPI assigned

Oct 8, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Come - Aristide Brahoua

Title

Ceo

Phone

(207) 408-7193

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1043817422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 FORT HILL RD",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382262",
            "telephone_number": "207-408-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 FORT HILL RD",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382262",
            "telephone_number": "207-408-7193",
            "fax_number": "207-222-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEDGE RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "BRAHOUA",
        "authorized_official_first_name": "COME - ARISTIDE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-408-7193",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Theresa Cardona Petropoulos, FNP-BC
• Christopher Wade Pidhajecky, DDS
• Diane Marie Pierce, LMT
• April Piirainen
• Pinnacle Rehabilitation Network, LLC
• Heather Jean Pollard, LCSW
• Portland Community Health Center
• Portland Community Health Center
• Portland Community Health Center
• Portland Community Health Center

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Gorham, ME
• Providers in Gorham, ME by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.