PK Holdings, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PK HOLDINGS, INC.

Practice address

160 Preble St
Portland, ME 04101-2426

Phone

(207) 420-7327

NPI assigned

Sep 25, 2014

Organization subpart

No

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

Authorized official

Name

Barbara Howaniec

Title

Clinical Director

Phone

(207) 420-7327

Specialties & licenses 1

Addresses

Other names 1

• Foundation House Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Formicola, LCSW

  • Addiction (Substance Use Disorder) Counselor
  • Portland, ME
  • NPI 1174163026
  NPD (past)

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1215339809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 DEERING ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PREBLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012426",
            "telephone_number": "207-420-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PK HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "HOWANIEC",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "207-420-7327"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundation House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Pitcher, LCPC-C
• Abby Pitts, IBCLC
• Stephanie Lauren Pitts, CRNA
• Christina Pizzo
• Kelly Daylyn Pizzo, M.D.
• Amanda Marie Place, LADC
• Planned Parenthood of Northern New England
• Amy Plante, PA-C
• Caitrin Mary Plante
• Plastic Surgery Ctr PA

• Substance Abuse Rehabilitation Facility in Portland, ME
• Providers in Portland, ME by specialty
• Substance Abuse Rehabilitation Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.