Easter Seals Maine, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

EASTER SEALS MAINE, INC

Practice address

555 Auburn St
Manchester, NH 03103-4803

Phone

(603) 623-8863

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Larry Gammon

Title

President & Ceo

Phone

(603) 623-8863

Specialties & licenses 1

Addresses

Other identifiers 7

Tax ID family

Easter Seals Maine Inc2 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.

• Easter Seals Maine, Inc

  • Clinical Social Worker
  • South Portland, ME
  • NPI 1922170901
  NPD tax ID

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1306155643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 AUBURN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031034803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 AUBURN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031034803",
            "telephone_number": "603-623-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS MAINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "GAMMON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "603-623-8863"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191720000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191720200",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1341145",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0921635002",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191720001",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191720100",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCARE",
            "identifier": "AA16930",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Earl, BSW
• East Coast Chiropractic LLC
• Easter Seals New Hampshire, Inc
• Easter Seals New Hampshire, Inc
• Easter Seals New Hampshire, Inc
• Easter Seals New Hampshire, Inc
• Easter Seals New Hampshire, Inc

• Early Intervention Provider Agency in Manchester, NH
• Providers in Manchester, NH by specialty
• Early Intervention Provider Agency in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.