NPIMap

Organization Active NPI

Pcal, LLC

  • Assisted Living Facility
  • Portland, ME
National Provider Identifier
1669708988
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
3668 Issued in ME
Legal business name
PCAL, LLC
Practice address
68 Devonshire St
Portland, ME 04103-4431
Phone
(207) 772-2893
NPI assigned
Oct 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Wanda Pelkey, CPA
Title
Cfo
Phone
(207) 874-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 3668 ME Primary

Addresses

Primary practice location

68 Devonshire St
Portland, ME 04103-4431

Mailing address

68 Devonshire St
Portland, ME 04103-4431
Phone (207) 772-2893

Other identifiers 1

IdentifierTypeStateIssuer
434851000MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Pcal 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.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1669708988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 DEVONSHIRE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034431",
            "telephone_number": "207-772-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 DEVONSHIRE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034431",
            "telephone_number": "207-772-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "PELKEY",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-874-2700",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "3668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434851000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.