Organization Active NPI

William Miro,

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Scarborough, ME
National Provider Identifier
1710124599
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
320600000X Issued in ME
Legal business name
WILLIAM MIRO,
Doing business as
PCS FAMILY HOMES,
Practice address
636 US Route 1
Scarborough, ME 04074-9700
Phone
(207) 883-2611
Fax
(207) 883-2611
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Authorized official

Name
William Vincent Miro
Title
Director of Services
Phone
(207) 883-2611

Specialties & licenses 1

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

Addresses

Primary practice location

636 US Route 1
Scarborough, ME 04074-9700

Mailing address

31 Old Blue Point Rd
Scarborough, ME 04074-9608
Phone (207) 883-2611

Other names 1

  • PCS FAMILY HOMES, Doing business as

National Provider Directory

National Provider Directory

Locations

636 US Route 1
Scarborough, ME 04074
Phone (207) 229-8819

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1710124599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OLD BLUE POINT RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749608",
            "telephone_number": "207-883-2611",
            "fax_number": "207-883-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749700",
            "telephone_number": "207-883-2611",
            "fax_number": "207-883-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM MIRO,",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "MIRO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "207-883-2611"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ME",
            "license": "320600000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCS FAMILY HOMES,",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.