Organization Active NPI

Compass Bridges LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Brunswick, ME
National Provider Identifier
1629617477
Registry record updated Dec 26, 2019
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
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.