Organization Active NPI

Personal Services of Aroostook

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Presque Isle, ME
National Provider Identifier
1356476261
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Oct 8, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
165380100OtherMAINE CARE
165380201OtherMAINE CARE
165380200OtherMAINE CARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.