Active NPI
Personal Services of Aroostook
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Presque Isle, ME
National Provider Identifier
1356476261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- PERSONAL SERVICES OF AROOSTOOK
- Practice address
- 480 Main Street
Suite 402
Presque Isle, ME 04769 - Phone
- (207) 764-3766
- Fax
- (207) 764-3359
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew Alanscen Duprey
- Title
- Executive Director
- Phone
- (207) 764-3766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
480 Main Street
Suite 402
Presque Isle, ME 04769
Mailing address
480 Main St Ste 402
Presque Isle, ME 04769-2345
Phone (207) 764-3766
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165380100 | Other | MAINE CARE | |
| 165380201 | Other | MAINE CARE | |
| 165380200 | Other | MAINE CARE |
National Provider Directory
National Provider DirectoryLocations
480 Main St
Ste 402
Presque Isle, ME 04769
Phone (207) 764-3766
480 Main St
Ste 202
Presque Isle, ME 04769
150 Maysville Rd
#2
Presque Isle, ME 04769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254960000000",
"number": "1356476261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 MAIN ST STE 402",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "047692345",
"telephone_number": "207-764-3766",
"fax_number": "207-764-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 MAIN STREET",
"address_2": "SUITE 402",
"city": "PRESQUE ISLE",
"state": "ME",
"postal_code": "04769",
"telephone_number": "207-764-3766",
"fax_number": "207-764-3359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL SERVICES OF AROOSTOOK",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2009-10-08",
"status": "A",
"authorized_official_last_name": "DUPREY",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "ALANSCEN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "207-764-3766",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE CARE",
"identifier": "165380100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE CARE",
"identifier": "165380201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE CARE",
"identifier": "165380200",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Presque Isle, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.