Active NPI
Southern Maine Agency on Aging
- Adult Day Care Clinic/Center
- Biddeford, ME
National Provider Identifier
1174759500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- ALLS3017
- Legal business name
- SOUTHERN MAINE AGENCY ON AGING
- Doing business as
- The Sam L. Cohen Center
- Practice address
- 30 Barra Rd
Biddeford, ME 04005-9459 - Phone
- (207) 283-0166
- Fax
- (207) 283-2470
- NPI assigned
- May 29, 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
- Laurie Riedel
- Title
- Cfo
- Phone
- (207) 396-6500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | ALLS3017 | ME | Primary |
Addresses
Primary practice location
30 Barra Rd
Biddeford, ME 04005-9459
Mailing address
30 Barra Rd
Biddeford, ME 04005-9459
Phone (207) 396-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109570000 | Medicaid | ME |
Other names 1
- The Sam L. Cohen Center
National Provider Directory
National Provider Directory- Tax ID family
- Southern Maine Agency on Aging
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Biddeford, ME
- NPI 1295961647
Locations
30 Barra Rd
Biddeford, ME 04005
Phone (207) 283-0166
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Adult Day Care Clinic/Center
- Biddeford, ME
- NPI 1295961647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745971200000",
"number": "1174759500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BARRA RD",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059459",
"telephone_number": "207-396-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BARRA RD",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059459",
"telephone_number": "207-283-0166",
"fax_number": "207-283-2470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN MAINE AGENCY ON AGING",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-29",
"last_updated": "2025-04-30",
"certification_date": "2025-04-14",
"status": "A",
"authorized_official_last_name": "RIEDEL",
"authorized_official_first_name": "LAURIE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "207-396-6500"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "ME",
"license": "ALLS3017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109570000",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Sam L. Cohen Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Biddeford, ME
- Solace Residential Care LLC
- John W Solari, M.D.
- Kathleen Sommer, PHARMD, RPH
- Colin Sorber, PA
- Southern Maine Administrative Collaborative
- Southern Maine Agency on Aging
- Southern Maine Allergy Associates, PA
- Southern Maine Dental, P. a.
- Southern Maine Dentures and Implants, PLLC
- Southern Maine Endodontics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.