Active NPI
Residential Resources of Maine
- Community/Behavioral Health Agency
- Keene, NH
National Provider Identifier
1679775456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- RESIDENTIAL RESOURCES OF MAINE
- Practice address
- 39 Summer St
Keene, NH 03431 - Phone
- (800) 287-2911
- Fax
- (844) 281-0423
- NPI assigned
- Jun 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Bertoncini
- Title
- Cfo
- Phone
- (800) 287-2911
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | ME | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | ME |
Addresses
Primary practice location
39 Summer St
Keene, NH 03431
Mailing address
39 Summer St
Keene, NH 03431-3318
Phone (800) 287-2911
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02117031 | Medicaid | NY | |
| 02497501 | Medicaid | NY | |
| 12847000 | Medicaid | ME | |
| 01987044 | Medicaid | NY | |
| 02111140 | Medicaid | NY | |
| 02701288 | Medicaid | NY |
Other names 2
- Residential Resources of Maine, Inc.
- Residential Resources, Inc.
National Provider Directory
National Provider DirectoryLocations
39 Mechanic St
Ste 700
Westbrook, ME 04092
39 Summer St
Keene, NH 03431
Phone (603) 313-2940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581552000000",
"number": "1679775456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 SUMMER ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034313318",
"telephone_number": "800-287-2911",
"fax_number": "844-281-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 SUMMER ST",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "800-287-2911",
"fax_number": "844-281-0423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESIDENTIAL RESOURCES OF MAINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A",
"authorized_official_last_name": "BERTONCINI",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "800-287-2911"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "ME",
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "ME",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02117031",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02497501",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12847000",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01987044",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02111140",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02701288",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Residential Resources of Maine, Inc.",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Residential Resources, Inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.