Pine Peak Care LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

PINE PEAK CARE LLC

Practice address

1395 Congress St
Portland, ME 04102-2120

Phone

(207) 415-6894

NPI assigned

Nov 11, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Manasse Shingiro, CRMA

Title

Managing Member

Phone

(207) 415-6894

Specialties & licenses 2

Addresses

Tax ID family

Pine Peak Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pine Peak Care LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, ME
  • NPI 1306480108
  NPD tax ID

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1467097709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SARA LN",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033622",
            "telephone_number": "207-415-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022120",
            "telephone_number": "207-415-6894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE PEAK CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "SHINGIRO",
        "authorized_official_first_name": "MANASSE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "207-415-6894",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRMA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Marlene Pike, PT STS
• Lydia Sanderson Pillsbury, LCSW
• Gloria Yvonne Pina, LMSW
• Pine Coast Chiropractic, PLLC
• Pine Peak Care LLC
• Pine Point Care LLC
• Pine Tree Commuinty Services, LLC
• Pine Tree Psychiatry
• Pine Tree Recovery Center, LLC
• Austin Pine

• All providers in Portland, ME
• Mental Illness Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.