Organization Active NPI

Dignity Life LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • South Portland, ME
National Provider Identifier
1639039233
Registry record updated Nov 15, 2025
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
DIGNITY LIFE LLC
Practice address
42 Brigham St
South Portland, ME 04106-3406
Phone
(207) 383-5601
NPI assigned
Nov 15, 2025
Last updated
Nov 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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

Authorized official

Name
Harold Kalusa
Title
Ceo
Phone
(207) 383-5601

Specialties & licenses 1

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

Addresses

Primary practice location

42 Brigham St
South Portland, ME 04106-3406

Mailing address

42 Brigham St
South Portland, ME 04106-3406
Phone (207) 383-5601

National Provider Directory

National Provider Directory
Tax ID family
Dignity Life LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1763164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763164800000",
    "number": "1639039233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BRIGHAM ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063406",
            "telephone_number": "207-383-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BRIGHAM ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063406",
            "telephone_number": "207-383-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-15",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A",
        "authorized_official_last_name": "KALUSA",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-383-5601"
    },
    "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 South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; 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.