Organization Active NPI

Maine Recovery Collective, LLC

  • Substance Abuse Rehabilitation Facility
  • Lewiston, ME
National Provider Identifier
1487525721
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
MAINE RECOVERY COLLECTIVE, LLC
Practice address
94 College St
Lewiston, ME 04240-6800
Phone
(207) 814-7475
Fax
(207) 387-7979
NPI assigned
Sep 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Ms. Lisa Nashawaty
Title
Administrator
Phone
(617) 690-9020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

94 College St
Lewiston, ME 04240-6800

Mailing address

22 Redlon Rd
Portland, ME 04102-2218
Phone (207) 814-7475

Other names 1

  • Metanoia Recovery - Lewiston Site Other name

National Provider Directory

National Provider Directory
Tax ID family
Maine Recovery Collective 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.

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1487525721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 REDLON RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022218",
            "telephone_number": "207-814-7475",
            "fax_number": "207-387-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 COLLEGE ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406800",
            "telephone_number": "207-814-7475",
            "fax_number": "207-387-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE RECOVERY COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "NASHAWATY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-690-9020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metanoia Recovery - Lewiston Site",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 17, 2025; 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.