Mercy Care Residential (MCR(

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MERCY CARE RESIDENTIAL (MCR(

Practice address

95 Park St Ste 519
Lewiston, ME 04240-7282

Phone

(207) 754-9115

NPI assigned

Jun 13, 2019

Last updated

Jun 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Asmo Dol

Title

Program Director

Phone

(207) 754-9115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1689233512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3681",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042123681",
            "telephone_number": "207-754-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 PARK ST STE 519",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407282",
            "telephone_number": "207-754-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CARE RESIDENTIAL (MCR(",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "DOL",
        "authorized_official_first_name": "ASMO",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "207-754-9115"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nia Megquier, DC FIAMA
• Stephanie Mellen, FNP
• James Melloh
• Sarah A Meltzer, LSWC
• Rhett Benjamin Moss Mercury, LMSW-CC
• Anne Melissa Merrick, DO
• Bethany Merrill, LSW
• Chad Daniel Merrill, AG-ACNP
• Merrimack River Medical Services, Inc. (Health Care Resource Centers)
• Adam R. Messier, PA-C

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.