Individual provider Active NPI

Constantin Jitaru

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lewiston, ME
National Provider Identifier
1194675876
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Practice address
172 Warren Ave Unit 1
Lewiston, ME 04240-4836
Phone
(617) 863-0161
NPI assigned
Feb 2, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X ME
Physical Disabilities Residential Treatment Facility 320700000X ME
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X ME Primary

Addresses

Primary practice location

172 Warren Ave Unit 1
Lewiston, ME 04240-4836

Mailing address

770 Roosevelt TRL Ste 8
N Windham, ME 04062-5300
Phone (207) 713-0263

Other practice location 1

770 Roosevelt Trl Ste 8
N Windham, ME 04062-5300
Phone (207) 713-0263

Other practice location 2

172 Warren Ave Unit 2
Lewiston, ME 04240-4836
Phone (617) 863-0161

Other names 1

  • Conqer LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1194675876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 ROOSEVELT TRL STE 8",
            "city": "N WINDHAM",
            "state": "ME",
            "postal_code": "040625300",
            "telephone_number": "207-713-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 WARREN AVE UNIT 1",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042404836",
            "telephone_number": "617-863-0161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Roosevelt Trl Ste 8",
            "address_purpose": "LOCATION",
            "city": "N Windham",
            "state": "ME",
            "postal_code": "040625300",
            "country_code": "US",
            "telephone_number": "207-713-0263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "172 Warren Ave Unit 2",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042404836",
            "country_code": "US",
            "telephone_number": "617-863-0161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JITARU",
        "first_name": "CONSTANTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ME",
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "ME",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONQER",
            "last_name": "LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.