Active NPI
Compass Bridges LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Brunswick, ME
National Provider Identifier
1629617477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- COMPASS BRIDGES LLC
- Practice address
- 14 Arrowhead Dr
Brunswick, ME 04011-7420 - Phone
- (904) 703-2900
- NPI assigned
- Dec 26, 2019
- Last updated
- Dec 26, 2019
- 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
- Daniel Falkenberg
- Title
- Chief Financial Officer
- Phone
- (904) 703-2900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
14 Arrowhead Dr
Brunswick, ME 04011-7420
Mailing address
142 Grant St Apt 6
Portland, ME 04101-5222
Phone (904) 703-2900
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577318400000",
"number": "1629617477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 GRANT ST APT 6",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041015222",
"telephone_number": "904-703-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 ARROWHEAD DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040117420",
"telephone_number": "904-703-2900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASS BRIDGES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-26",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A",
"authorized_official_last_name": "FALKENBERG",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "904-703-2900"
},
"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": []
}
Other providers in Brunswick, ME
- Luna Aurelia Colt, LCPC-C
- Jane Colton, N.P.
- Community Health and Nursing Services (CHANS Home Health & Hospice)
- Community Health and Nursing Services (CHANS Home Health & Hospice)
- Deborah Rae Como-Kepler, PSY.D
- Compassionate Psychotherapy LLC
- Jessica I Conery-Poulin, LCSW
- Patricia Marie Conner, LADC,LCPC
- Lisa B. Connolly, M.ED., ED.S
- Convenientmd - FFS UC LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.