Peace House Maine LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PEACE HOUSE MAINE LLC

Practice address

6 Woodland Rd
Raymond, ME 04071-6368

Phone

(207) 409-5015

NPI assigned

May 26, 2018

Last updated

May 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thierry Ndabahagamye

Title

Owner

Phone

(207) 409-5015

Specialties & licenses 1

Addresses

Tax ID family

Peace House Maine LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peace House Maine LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Raymond, ME
  • NPI 1710503107
  NPD tax ID

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527292800000",
    "number": "1053802983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WOODLAND RD",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716368",
            "telephone_number": "207-409-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WOODLAND RD",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716368",
            "telephone_number": "207-409-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE HOUSE MAINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-26",
        "last_updated": "2018-05-26",
        "status": "A",
        "authorized_official_last_name": "NDABAHAGAMYE",
        "authorized_official_first_name": "THIERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-409-5015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Adams Morrison, LCSW
• Patrick Kifokie Mulonda
• Carol J Nappi, RN
• New Hope Healthcare Services, LLC
• Erica Theresa Lynn Osborne
• Peace House Maine LLC
• Perpetually Becoming Therapy & Wellness
• Mary Picavet
• Sally Plummer, M.A., CCC-SLP
• Abigail Leigh Pullis, FNP-C

• In Home Supportive Care Agency in Raymond, ME
• Providers in Raymond, ME by specialty
• In Home Supportive Care Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2018; 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.