Active NPI
The Opportunity Alliance
- Case Management Agency
- Portland, ME
National Provider Identifier
1063648368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- THE OPPORTUNITY ALLIANCE
- Practice address
- 190 Lancaster St
Portland, ME 04101-2418 - Phone
- (207) 874-1055
- NPI assigned
- Jun 2, 2009
- 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
- Lauren Hawley
- Title
- Revenue Manager
- Phone
- (207) 523-5018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
190 Lancaster St
Portland, ME 04101-2418
Mailing address
50 Lydia LN
South Portland, ME 04106-2156
Phone (207) 874-1175
Other practice location 1
50 Lydia Ln
South Portland, ME 04106-2156
Phone (207) 874-1175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105460304 | Medicaid | ME |
National Provider Directory
National Provider Directory- Tax ID family
- The Opportunity Alliance
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- South Portland, ME
- NPI 1154557452
-
- Case Management Agency
- South Portland, ME
- NPI 1326274622
-
- Mental Illness Community Based Residential Treatment Facility
- South Portland, ME
- NPI 1518193812
-
- Community/Behavioral Health Agency
- Portland, ME
- NPI 1851625180
-
- Dental Hygienist
- S Portland, ME
- NPI 1962984872
Locations
190 Lancaster St
Portland, ME 04101
Phone (207) 874-1055
50 Lydia Ln
South Portland, ME 04106
Phone (207) 874-1055
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- South Portland, ME
- NPI 1740732502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539043200000",
"number": "1063648368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 LYDIA LN",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062156",
"telephone_number": "207-874-1175",
"fax_number": "207-874-1181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 LANCASTER ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012418",
"telephone_number": "207-874-1055"
}
],
"practiceLocations": [
{
"address_1": "50 Lydia Ln",
"address_purpose": "LOCATION",
"city": "South Portland",
"state": "ME",
"postal_code": "041062156",
"country_code": "US",
"telephone_number": "207-874-1175",
"fax_number": "207-874-1181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE OPPORTUNITY ALLIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-02",
"last_updated": "2018-10-09",
"status": "A",
"authorized_official_last_name": "HAWLEY",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "REVENUE MANAGER",
"authorized_official_telephone_number": "207-523-5018"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105460304",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.