Organization Active NPI

Fidelity Adult Care LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Westbrook, ME
National Provider Identifier
1497455893
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
FIDELITY ADULT CARE LLC
Practice address
35 Anderson Ave
Westbrook, ME 04092-4003
Phone
(207) 653-7565
NPI assigned
Mar 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Mr. Patrick Biregeya
Title
Ceo
Phone
(207) 653-7565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

35 Anderson Ave
Westbrook, ME 04092-4003

Mailing address

35 Anderson Ave
Westbrook, ME 04092-4003
Phone (207) 653-7565

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1497455893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ANDERSON AVE",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924003",
            "telephone_number": "207-653-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ANDERSON AVE",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924003",
            "telephone_number": "207-653-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY ADULT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "BIREGEYA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-653-7565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.