Granite Bay Care, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GRANITE BAY CARE, INC

Practice address

1037 Forest Ave
Portland, ME 04103-3396

Phone

(207) 878-3229

Fax

(207) 797-3018

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kasai Mumpini, MBA

Title

President & Ceo

Phone

(603) 224-0044

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Rothaupt

  • Clinical Social Worker
  • Westbrook, ME
  • NPI 1326854811
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1518022763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WARREN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014044",
            "telephone_number": "603-224-0044",
            "fax_number": "603-225-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033396",
            "telephone_number": "207-878-3229",
            "fax_number": "207-797-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE BAY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "MUMPINI",
        "authorized_official_first_name": "KASAI",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "603-224-0044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417080000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Grammer
• Catherine Marie Grams, NP
• Richard Reed Gramse, M.D.
• Andrew Jonathan Grandin, MD
• Claudine Nancy Wilhelmi Grange, PMHNP
• Deborah C Grant, LCSW
• Devon Akiem Grant
• Holly Lynn Grant, RN
• Mackenzie Grant, ACPNP
• Shelia M Grant, APRN-CNP

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Portland, ME
• Providers in Portland, ME by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.