Organization Active NPI

Lifespring Care LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Westbrook, ME
National Provider Identifier
1699529032
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
LIFESPRING CARE LLC
Practice address
15 Ridge Rd
Westbrook, ME 04092-2521
Phone
(207) 245-1178
NPI assigned
Apr 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Mr. Medard Kadima
Title
President
Phone
(207) 245-1178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

15 Ridge Rd
Westbrook, ME 04092-2521

Mailing address

443 Western Ave # 1115
South Portland, ME 04106-1726
Phone (207) 245-1178

National Provider Directory

National Provider Directory

Locations

443 Western Ave
#1115
South Portland, ME 04106

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1699529032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 WESTERN AVE # 1115",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061726",
            "telephone_number": "207-245-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RIDGE RD",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922521",
            "telephone_number": "207-245-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPRING CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "KADIMA",
        "authorized_official_first_name": "MEDARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-245-1178",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.