NPIMap

Organization Active NPI

St . Andre's Home, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Biddeford, ME
National Provider Identifier
1104060045
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
214603,429481,216796 Issued in ME
Legal business name
ST . ANDRE'S HOME, INC.
Practice address
283 Elm St
Biddeford, ME 04005-3027
Phone
(207) 282-3351
Fax
(207) 282-8733
NPI assigned
Apr 22, 2009
Last updated
Apr 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Mr. Peter Fitzpatrick
Title
Executive Director
Phone
(207) 282-3351

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 218677 ME
Mental Illness Community Based Residential Treatment Facility 320800000X 214603,429481,216796 ME Primary

Addresses

Primary practice location

283 Elm St
Biddeford, ME 04005-3027

Mailing address

283 Elm St
Biddeford, ME 04005-3027
Phone (207) 282-3351

National Provider Directory

National Provider Directory

Locations

283 Elm St
Biddeford, ME 04005
Phone (207) 282-3351

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": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1104060045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 ELM ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053027",
            "telephone_number": "207-282-3351",
            "fax_number": "207-282-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 ELM ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053027",
            "telephone_number": "207-282-3351",
            "fax_number": "207-282-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST . ANDRE'S HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-282-3351",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ME",
            "license": "218677",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "ME",
            "license": "214603,429481,216796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.