Real Care Maine LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

REAL CARE MAINE LLC

Practice address

21 School St Apt 304
Portland, ME 04102-3939

Phone

(207) 615-7794

NPI assigned

Jun 3, 2022

Organization subpart

No

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

Authorized official

Name

Alice Nzeyimana, DSP

Title

Board Member

Phone

(207) 615-7794

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1356080519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SCHOOL ST APT 304",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023939",
            "telephone_number": "207-615-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SCHOOL ST APT 304",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023939",
            "telephone_number": "207-615-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL CARE MAINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "NZEYIMANA",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "207-615-7794",
        "authorized_official_credential": "DSP"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Rayworth, LCSW
• Nina Razavi, MD
• Setareh Razzaghi, DDS MS
• Frank Wildman Read, MD
• Reagan Family Dentistry, PLLC
• Maria Kathryn Reali, LCPC-C
• Devon W. Ream, MD
• Jessica-Lynne Reaves, LCPC-CC
• Michael T Reaves, LCPC-CC
• Rebecca Sammon Therapy, LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portland, ME
• Providers in Portland, ME by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.