NPIMap

Organization Active NPI

Eastern Maine Counseling and Testing Services, Inc.

  • In Home Supportive Care Agency
  • Bangor, ME
National Provider Identifier
1073757266
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EASTERN MAINE COUNSELING AND TESTING SERVICES, INC.
Practice address
700 Mount Ave
Suite 680 Evergreen Woods
Bangor, ME 04401-5691
Phone
(207) 942-9305
Fax
(207) 990-3954
NPI assigned
May 1, 2009
Last updated
Aug 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Authorized official

Name
Dr. Tim R Rogers, PH.D.NPI 1326358250
Title
President
Phone
(207) 942-9305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

700 Mount Ave
Suite 680 Evergreen Woods
Bangor, ME 04401-5691

Mailing address

700 Mount Hope Ave
Suite 680 Evergreen Woods
Bangor, ME 04401-5691
Phone (207) 942-9305

Other identifiers 1

IdentifierTypeStateIssuer
122780100OtherMEMAINECARE

National Provider Directory

National Provider Directory

Locations

680 Evergreen Woods
Bangor, ME 04401
Phone (207) 942-9305

700 Mount Hope Ave
Ste 680
Bangor, ME 04401
Phone (207) 942-9305

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1073757266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MOUNT HOPE AVE",
            "address_2": "SUITE 680 EVERGREEN WOODS",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015691",
            "telephone_number": "207-942-9305",
            "fax_number": "207-990-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOUNT AVE",
            "address_2": "SUITE 680 EVERGREEN WOODS",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015691",
            "telephone_number": "207-942-9305",
            "fax_number": "207-990-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN MAINE COUNSELING AND TESTING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-942-9305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINECARE",
            "identifier": "122780100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.