NPIMap

Organization Active NPI

Green Valley Association

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Patten, ME
National Provider Identifier
1437295359
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
ALLS 2244 Issued in ME
Legal business name
GREEN VALLEY ASSOCIATION
Practice address
13 Gardner Street
Patten, ME 04765
Phone
(207) 528-2064
Fax
(207) 463-2151
NPI assigned
Jan 29, 2007
Last updated
Jan 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Eric C. Quint
Title
Executive Director
Phone
(207) 463-2156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X ALLS 2244 ME Primary

Addresses

Primary practice location

13 Gardner Street
Patten, ME 04765

Mailing address

PO Box 127
Island Falls, ME 04747-0127
Phone (207) 463-2156

Other identifiers 1

IdentifierTypeStateIssuer
104300300MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Green Valley Association6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1437295359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "ISLAND FALLS",
            "state": "ME",
            "postal_code": "047470127",
            "telephone_number": "207-463-2156",
            "fax_number": "207-463-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 GARDNER STREET",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "04765",
            "telephone_number": "207-528-2064",
            "fax_number": "207-463-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "QUINT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-463-2156"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ME",
            "license": "ALLS 2244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104300300",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patten, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.