NPIMap

Organization Active NPI

City of Portland

  • Adult Day Care Clinic/Center
  • Portland, ME
National Provider Identifier
1306071493
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ALLS 3248 Issued in ME
Legal business name
CITY OF PORTLAND
Practice address
1145 Brighton Ave
Portland, ME 04102-1025
Phone
(207) 541-6500
Fax
(207) 541-6555
NPI assigned
May 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Mrs. Jeralyn P Logue
Title
Principal Financial Officer
Phone
(207) 541-6500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ALLS 3248 ME Primary
Adult Day Care Clinic/Center 261QA0600X ALLS 3249 ME

Addresses

Primary practice location

1145 Brighton Ave
Portland, ME 04102-1025

Mailing address

1145 Brighton Ave
Portland, ME 04102-1025
Phone (207) 541-6500

Other identifiers 1

IdentifierTypeStateIssuer
136040200MedicaidME

Other names 1

  • BARRON CENTER ADULT DAY PROGRAM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
City of Portland Maine HHS PHD10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1306071493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021025",
            "telephone_number": "207-541-6500",
            "fax_number": "207-541-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021025",
            "telephone_number": "207-541-6500",
            "fax_number": "207-541-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PORTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "LOGUE",
        "authorized_official_first_name": "JERALYN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRINCIPAL FINANCIAL OFFICER",
        "authorized_official_telephone_number": "207-541-6500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "ME",
            "license": "ALLS 3248",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "ME",
            "license": "ALLS 3249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136040200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARRON CENTER ADULT DAY PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BARRON CENTER ADULT DAY PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.