Active NPI
Constantin Jitaru
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Lewiston, ME
National Provider Identifier
1194675876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.