Active NPI
Maine Recovery Collective, LLC
- Substance Abuse Rehabilitation Facility
- Lewiston, ME
National Provider Identifier
1487525721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Maine Recovery Collective LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- South Portland, ME
- NPI 1326811506
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.