NPIMap

Organization Active NPI

Manna Inc.

  • Substance Abuse Rehabilitation Facility
  • Bangor, ME
National Provider Identifier
1205273786
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
CAC4364 Issued in ME
Legal business name
MANNA INC.
Practice address
629 Main St
Bangor, ME 04401-6848
Phone
(207) 990-2870
NPI assigned
May 24, 2013
Last updated
May 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
William Rae
Title
Ceo
Phone
(207) 990-2870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X CAC4364 ME Primary

Addresses

Primary practice location

629 Main St
Bangor, ME 04401-6848

Mailing address

629 Main St
Bangor, ME 04401-6848
Phone (207) 990-2870

National Provider Directory

National Provider Directory
Tax ID family
Manna Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

  • Manna Inc
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Bangor, ME
    • NPI 1760497200
    NPD tax ID
  • Manna Inc.
    • Community/Behavioral Health Agency
    • Bangor, ME
    • NPI 1649614728
    NPD tax ID

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1205273786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 MAIN ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016848",
            "telephone_number": "207-990-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 MAIN ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016848",
            "telephone_number": "207-990-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-990-2870"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "ME",
            "license": "CAC4364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.