NPIMap

Organization Active NPI

St Andre Home Inc.

  • Community/Behavioral Health Agency
  • Biddeford, ME
National Provider Identifier
1508198037
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ST ANDRE HOME INC.
Practice address
168 Prospect St
Biddeford, ME 04005-3093
Phone
(207) 282-3351
Fax
(207) 282-8733
NPI assigned
Feb 9, 2010
Last updated
Jan 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Terry Gauvin
Title
Executive Director
Phone
(207) 282-3351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

168 Prospect St
Biddeford, ME 04005-3093

Mailing address

168 Prospect St
Biddeford, ME 04005-3093
Phone (207) 282-3351

Other practice location 1

283 Elm St
Biddeford, ME 04005-3027
Phone (207) 282-3351

Other practice location 2

1200 Ohio St
Bangor, ME 04402
Phone (207) 282-3351

Other identifiers 2

IdentifierTypeStateIssuer
168230000MedicaidME
435407000MedicaidME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1508198037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 PROSPECT ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053093",
            "telephone_number": "207-282-3351",
            "fax_number": "207-282-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 PROSPECT ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053093",
            "telephone_number": "207-282-3351",
            "fax_number": "207-282-8733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 Elm St",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040053027",
            "country_code": "US",
            "telephone_number": "207-282-3351",
            "fax_number": "207-282-8733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Ohio St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "04402",
            "country_code": "US",
            "telephone_number": "207-282-3351",
            "fax_number": "207-282-8733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST ANDRE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "GAUVIN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-282-3351"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168230000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435407000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.