Organization Active NPI

Veritas Care of Maine Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Portland, ME
National Provider Identifier
1194340646
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
VERITAS CARE OF MAINE INC
Practice address
570 Brighton Ave Ste 2
Portland, ME 04102-2355
Phone
(207) 807-5210
NPI assigned
Jun 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Maxwell Chikuta, PHD
Title
Ceo
Phone
(207) 807-5210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

570 Brighton Ave Ste 2
Portland, ME 04102-2355

Mailing address

PO Box 10112
Portland, ME 04104-0112
Phone (207) 807-5210

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Portland Direct

National Provider Directory

National Provider Directory
Tax ID family
Veritas Care of Maine Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

570 Brighton Ave
Ste 2
Portland, ME 04102
Phone (207) 807-5210

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1194340646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10112",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041040112",
            "telephone_number": "207-807-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 BRIGHTON AVE STE 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022355",
            "telephone_number": "207-807-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERITAS CARE OF MAINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "CHIKUTA",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-807-5210",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Portland",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "570 Brighton Ave Ste 2",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041022355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 10, 2020; 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.