NPIMap

Organization Active NPI

Bangor Area Homeless Shelter

  • Case Management Agency
  • Bangor, ME
National Provider Identifier
1346499787
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BANGOR AREA HOMELESS SHELTER
Practice address
263 Main Street
Bangor, ME 04402-1754
Phone
(207) 947-0045
Fax
(207) 945-9032
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dennis Marble
Title
Executive Director
Phone
(207) 947-0045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

263 Main Street
Bangor, ME 04402-1754

Mailing address

P.O. Box 1754
Bangor, ME 04402-1754
Phone (207) 947-0045

Other identifiers 1

IdentifierTypeStateIssuer
405340000MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Bangor Area Homeless Shelter2 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.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1346499787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1754",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021754",
            "telephone_number": "207-947-0045",
            "fax_number": "207-945-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 MAIN STREET",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021754",
            "telephone_number": "207-947-0045",
            "fax_number": "207-945-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANGOR AREA HOMELESS SHELTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "MARBLE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-947-0045"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405340000",
            "state": "ME"
        }
    ],
    "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 Sep 10, 2008; 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.