Organization Active NPI

Bread of Life Ministries

  • Case Management Agency
  • Augusta, ME
National Provider Identifier
1447409883
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BREAD OF LIFE MINISTRIES
Practice address
155 Hospital Street
Augusta, ME 04330
Phone
(207) 626-3479
Fax
(207) 621-6385
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
John C. Applin
Title
Executive Director
Phone
(207) 626-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

155 Hospital Street
Augusta, ME 04330

Mailing address

157 Water Street
Augusta, ME 04330
Phone (207) 626-3434

Other identifiers 1

IdentifierTypeStateIssuer
169410000MedicaidME

National Provider Directory

National Provider Directory

Locations

155 Hospital St
Augusta, ME 04330
Phone (207) 626-3479

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1447409883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 WATER STREET",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "04330",
            "telephone_number": "207-626-3434",
            "fax_number": "207-621-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL STREET",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "04330",
            "telephone_number": "207-626-3479",
            "fax_number": "207-621-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAD OF LIFE MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "APPLIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-626-3434"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169410000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.