Aware Recovery Care of Maine LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · South Portland, ME
NPI 1326523366 · NPPES record last updated Jul 31, 2026
Key facts
- NPI
- 1326523366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- AWARE RECOVERY CARE OF MAINE LLC
- Practice address
- 500 Southborough Dr Ste 500-202
South Portland, ME 04106-6928 - Phone
- (203) 779-5799
- NPI assigned
- Sep 26, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- AWARE RECOVERY CARE INC
Authorized official
- Name
- George Merhi
- Title
- Cfo
- Phone
- (203) 779-5799
Practitioners 14
-
James Gorham Jr., LCPC
-
Jean Francesca Bagnati, LCSW
-
Marlene Marie Dolat, APRN
-
Aiza Salazar Nimeh, ARNP
-
Dax Peters, LCSW
-
Shannon Powell, FNP
-
Sondra Dionne Verser, ARNP
-
Jennifer Ann Michaud, LCPC
-
Tiffany Menard, LADC I
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2158020 | Aware Recovery Care of Maine | Certificate of waiver | Nov 18, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260220002081 | ME | Part B Supplier - Clinic/Group Practice | 9931680642 |
Receives reassigned benefits from 13 practitioners Practice locations: South Portland, ME |
National Provider Directory
- Part of
- Aware Recovery Care Inc
Locations
500 Southborough Dr
Ste 500202
South Portland, ME 04106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician |
207QA0401X | |||
| Home Health Agency | 251E00000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
500 Southborough Dr Ste 500-202
South Portland, ME 04106-6928
Mailing address
386 Main St Ste 422
Middletown, CT 06457-3360
Phone (203) 779-5799
Other names
- Aware Recovery Care
- Aware Recovery Care of Maine
Other providers in South Portland, ME
- John A Attwood
- Michael Emanuel Auster
- Tammy Jo Austin
- Avenir Ventures, L.L.C.
- Dolphin Moon Avery-Grubel
- Brenda Ayre
- Leyla Azis
- Ann M Babbitt
- Sara Bachelder
- Back on Track
All providers in South Portland, ME · Substance Abuse Rehabilitation Facility in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.