Active NPI
Star Quality Support Services LLC
- Adult Mental Health Clinic/Center
- Lewiston, ME
National Provider Identifier
1386466282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- STAR QUALITY SUPPORT SERVICES LLC
- Practice address
- 284 Lisbon St
Lewiston, ME 04240-7304 - Phone
- (207) 440-9656
- NPI assigned
- Oct 30, 2024
- 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
- Abdifitah Said Abdi, DSP
- Title
- Ceo
- Phone
- (207) 440-7029
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary |
Addresses
Primary practice location
284 Lisbon St
Lewiston, ME 04240-7304
Mailing address
284 Lisbon St
Lewiston, ME 04240-7304
Phone (207) 440-9656
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730246400000",
"number": "1386466282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 LISBON ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407304",
"telephone_number": "207-440-9656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 LISBON ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042407304",
"telephone_number": "207-440-9656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR QUALITY SUPPORT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A",
"authorized_official_last_name": "ABDI",
"authorized_official_first_name": "ABDIFITAH",
"authorized_official_middle_name": "SAID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "207-440-7029",
"authorized_official_credential": "DSP"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.