McKay Shared Living Services
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Old Town, ME
NPI 1154440113 · NPPES record last updated Dec 15, 2009
Key facts
- NPI
- 1154440113
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- MCKAY SHARED LIVING SERVICES
- Practice address
- 240 Main Street
Old Town, ME 04468 - Phone
- (207) 827-4710
- Fax
- (866) 477-1018
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Karen F Pitts
- Title
- Program Administrator
- Phone
- (207) 232-0975
National Provider Directory
Locations
240 Main St
Old Town, ME 04468
Phone (207) 827-4710
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Yes |
Addresses
Primary practice location
240 Main Street
Old Town, ME 04468
Mailing address
PO Box 411
Milford, ME 04461
Phone (207) 827-4710
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198880000 | Medicaid | ME |
Other providers in Old Town, ME
- Lorraine L Lick
- Rena M Lolar
- Kayla Jo Maioriello
- Karolina Anna Mandes
- Gwyneth N Mattingly
- Frank N McKnight
- Terri Underhill McLaughlin
- Terry L Melanson
- Kayleigh Louise Merrill
- Chetan Raj Nanjundaiah
All providers in Old Town, ME · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.