Maine Family Services LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RCA38665 Issued in ME

Legal business name

MAINE FAMILY SERVICES LLC

Practice address

95 Narragansett St
Gorham, ME 04038-1411

Phone

(207) 272-2723

NPI assigned

Feb 17, 2017

Organization subpart

No

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

Authorized official

Name

Andrew Coffin L, BHP,CRMA,DSP,BFA

Title

Exucutive Director

Phone

(207) 272-2723

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Andrew Coffin, BHP, DSP, CRMA

  • Behavior Technician
  • Gorham, ME
  • NPI 1528507837
  NPD (past)

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1679012157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 NARRAGANSETT ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381411",
            "telephone_number": "207-272-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 NARRAGANSETT ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381411",
            "telephone_number": "207-272-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "L",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "COFFIN",
        "authorized_official_title_or_position": "EXUCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-272-2723",
        "authorized_official_credential": "BHP,CRMA,DSP,BFA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "RCA38665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING FACILITY",
            "identifier": "RCA38665",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda B Loveitt, BSN
• Kirsten Ashley Lowell, MSW, LICSW
• Jaclyn Luckhardt
• Roberta C Maccallum, SLP
• Lauren Mackellar, LCPC, LMHC
• Maine Optometry PA
• Maine Osteopathic Health LLC
• Maine Residential Option, LLC
• Stacey M Marcoux, LMT,CA
• Regina P Marsters, LCPC, PHD

• Assisted Living Facility in Gorham, ME
• Providers in Gorham, ME by specialty
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.