Organization Active NPI

Star Quality Support Services LLC

  • Adult Mental Health Clinic/Center
  • Lewiston, ME
National Provider Identifier
1386466282
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Oct 30, 2024

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.