Organization Active NPI

Thrivebridge Community Care LLC

  • Community/Behavioral Health Agency
  • South Portland, ME
National Provider Identifier
1679441372
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THRIVEBRIDGE COMMUNITY CARE LLC
Practice address
117 Sandy Hill Rd
South Portland, ME 04106-4023
Phone
(207) 409-7774
NPI assigned
Oct 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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

Authorized official

Name
Marcel Rukema Ntagora
Title
Ceo
Phone
(603) 320-4938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

117 Sandy Hill Rd
South Portland, ME 04106-4023

Mailing address

117 Sandy Hill Rd
South Portland, ME 04106-4023
Phone (207) 409-7774

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1761350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761350400000",
    "number": "1679441372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SANDY HILL RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064023",
            "telephone_number": "207-409-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SANDY HILL RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064023",
            "telephone_number": "207-409-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVEBRIDGE COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-25",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A",
        "authorized_official_last_name": "NTAGORA",
        "authorized_official_first_name": "MARCEL",
        "authorized_official_middle_name": "RUKEMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-320-4938"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 Oct 25, 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.