The Bangor Area Homeless Shelter

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

THE BANGOR AREA HOMELESS SHELTER

Practice address

263 Main Street
Bangor, ME 04401

Phone

(207) 947-0045

Fax

(207) 945-9032

NPI assigned

Dec 12, 2007

Last updated

Dec 12, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dennis R Marble

Title

Executive Director

Phone

(207) 947-0045

Specialties & licenses 1

Addresses

Tax ID family

Bangor Area Homeless Shelter2 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.

• Bangor Area Homeless Shelter

  • Case Management Agency
  • Bangor, ME
  • NPI 1346499787
  NPD tax ID

Locations

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1194908186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1754",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021754",
            "telephone_number": "207-947-0045",
            "fax_number": "207-945-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MAIN STREET",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-947-0045",
            "fax_number": "207-945-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BANGOR AREA HOMELESS SHELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "MARBLE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-947-0045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucus Temple, LMSW-CC
• Diane Alicia Tennies, PH.D.
• Manika Thakur, MD
• Jessica Thayer, DMD
• The Aware Center for Early Intervention, LLC
• The Bodyworks
• The Getchell Agency, Inc
• The Getchell Agency, Inc
• The Maine Fitness Store, Inc (Maine Fitness)
• Karli Theberge, DO

• Case Management Agency in Bangor, ME
• Providers in Bangor, ME by specialty
• Case Management Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.