Organization Active NPI

Peace Residential Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • South Portland, ME
National Provider Identifier
1538868815
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PEACE RESIDENTIAL SERVICES
Doing business as
Peace Residential Services
Practice address
586 Westbrook St Unit 315
South Portland, ME 04106-1404
Phone
(207) 413-6329
NPI assigned
Feb 27, 2023
Last updated
Feb 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Aline Ruhumuriza Sr.
Title
Ceo
Phone
(207) 413-6329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

586 Westbrook St Unit 315
South Portland, ME 04106-1404

Mailing address

586 Westbrook St Unit 315
South Portland, ME 04106-1404
Phone (207) 413-6329

Other names 1

  • Peace Residential Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1538868815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 WESTBROOK ST UNIT 315",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061404",
            "telephone_number": "207-413-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 WESTBROOK ST UNIT 315",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061404",
            "telephone_number": "207-413-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-26",
        "status": "A",
        "authorized_official_last_name": "RUHUMURIZA",
        "authorized_official_first_name": "ALINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-413-6329",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peace Residential Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.