Maine Residential Care Group

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALLS5056 Issued in ME

Legal business name

MAINE RESIDENTIAL CARE GROUP

Doing business as

Sabattus Residential Care

Practice address

189 Belmont St
Brockton, MA 02301-5159

Phone

(617) 733-5159

Fax

(508) 583-1002

NPI assigned

Dec 14, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Idelie Jeanbaptiste

Title

President

Phone

(617) 733-5159

Specialties & licenses 1

Addresses

Other names 1

• Sabattus Residential Care Doing business as

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1700122009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 LISBON RD",
            "city": "SABATTUS",
            "state": "ME",
            "postal_code": "042804209",
            "telephone_number": "207-375-6562",
            "fax_number": "207-375-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015159",
            "telephone_number": "617-733-5159",
            "fax_number": "508-583-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE RESIDENTIAL CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "JEANBAPTISTE",
        "authorized_official_first_name": "IDELIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-733-5159",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS5056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sabattus Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Beth L. Maher, PA-C
• Sophia Helen Maher, RN
• Tina Marie Mahon
• David T Mahony, M.D.
• Caroline Wahito Maina
• Mainspring Human Services , LLC
• Shaymaa Majhoudi
• Isabella Mak, MD
• Janice Makarchuk
• Deborah Oluwatoyin Makinde, MD

• Assisted Living Facility in Brockton, MA
• Providers in Brockton, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.