Back to Basics Childcare Center, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

391616 Issued in ME

Legal business name

BACK TO BASICS CHILDCARE CENTER, INC.

Practice address

44 Depot Rd
Lebanon, ME 04027-3347

Phone

(207) 457-1838

Fax

(207) 457-6056

NPI assigned

Oct 11, 2013

Last updated

Oct 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Anita K. Grover, CDA

Title

Owner/Director

Phone

(207) 651-8538

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1366879157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DEPOT RD",
            "city": "LEBANON",
            "state": "ME",
            "postal_code": "040273347",
            "telephone_number": "207-457-1838",
            "fax_number": "207-457-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DEPOT RD",
            "city": "LEBANON",
            "state": "ME",
            "postal_code": "040273347",
            "telephone_number": "207-457-1838",
            "fax_number": "207-457-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BASICS CHILDCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "207-651-8538",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "ME",
            "license": "391616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back to Basics Behavioral Health Services, Inc.
• Liana Bolen
• Erin Bourque, FNP-C
• Helene Sokol Cass, M.S., CCC-SLP
• Jeffrey Hammersmith, FP-C
• Elizabeth Mary Beal Johnson, OT/L

• Early Intervention Provider Agency in Lebanon, ME
• Providers in Lebanon, ME by specialty
• Early Intervention Provider Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.