Active NPI
Ohi
Doing business as PNMI - MH Adult
- Mental Illness Community Based Residential Treatment Facility
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 230521
- Legal business name
- OHI
- Doing business as
- PNMI - MH Adult
- Practice address
- 203 Maine Ave
Bangor, ME 04401-4331 - Phone
- (207) 848-5804
- NPI assigned
- Nov 22, 2006
- Organization subpart
- Yes
- Parent organization
- OHI
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John McNamara
- Title
- President & C.E.O.
- Phone
- (207) 974-6781
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 230521 | ME | Primary |
Addresses
Primary practice location
203 Maine Ave
Bangor, ME 04401-4331
Mailing address
203 Maine Ave
Bangor, ME 04401-4331
Phone (207) 848-5804
Other practice location 1
2522 Essex St
Orono, ME 04473-3052
Phone (207) 848-5804
Other practice location 2
6 Dana Dr
Bangor, ME 04401-2749
Phone (207) 848-5804
Other practice location 3
35 Deer Run Rd
Glenburn, ME 04401-1830
Phone (207) 922-2677
Other practice location 4
17 Church Rd
Holden, ME 04429-7150
Phone (207) 989-7725
Other practice location 5
3 Hudson St
Bangor, ME 04401-4617
Phone (207) 947-0202
Other practice location 6
18 Grove St
Brewer, ME 04412-2304
Phone (207) 989-8928
Other practice location 7
52 Division St
Bangor, ME 04401-4835
Phone (207) 942-1603
Other practice location 8
296 Mount Hope Ave
Bangor, ME 04401-4209
Phone (207) 990-0360
Other names 1
- PNMI - MH Adult
National Provider Directory
National Provider Directory- Tax ID family
- Ohi
- Part of
- Ohi
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Home Based Waiver
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bangor, ME
- NPI 1427121243
Locations
52 Division St
Bangor, ME 04401
Phone (207) 942-1603
3 Hudson St
Bangor, ME 04401
Phone (207) 947-0202
35 Deer Run Rd
Glenburn, ME 04401
Phone (207) 922-2677
25 Freedom Pkwy
Hermon, ME 04401
Phone (207) 848-5804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1720153836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 MAINE AVE",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014331",
"telephone_number": "207-848-5804",
"fax_number": "207-989-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 MAINE AVE",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014331",
"telephone_number": "207-848-5804"
}
],
"practiceLocations": [
{
"address_1": "2522 Essex St",
"address_purpose": "LOCATION",
"city": "Orono",
"state": "ME",
"postal_code": "044733052",
"country_code": "US",
"telephone_number": "207-848-5804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Dana Dr",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044012749",
"country_code": "US",
"telephone_number": "207-848-5804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Deer Run Rd",
"address_purpose": "LOCATION",
"city": "Glenburn",
"state": "ME",
"postal_code": "044011830",
"country_code": "US",
"telephone_number": "207-922-2677",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17 Church Rd",
"address_purpose": "LOCATION",
"city": "Holden",
"state": "ME",
"postal_code": "044297150",
"country_code": "US",
"telephone_number": "207-989-7725",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Hudson St",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044014617",
"country_code": "US",
"telephone_number": "207-947-0202",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18 Grove St",
"address_purpose": "LOCATION",
"city": "Brewer",
"state": "ME",
"postal_code": "044122304",
"country_code": "US",
"telephone_number": "207-989-8928",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "52 Division St",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044014835",
"country_code": "US",
"telephone_number": "207-942-1603",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "296 Mount Hope Ave",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044014209",
"country_code": "US",
"telephone_number": "207-990-0360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OHI",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OHI",
"enumeration_date": "2006-11-22",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "MCNAMARA",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT & C.E.O.",
"authorized_official_telephone_number": "207-974-6781"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "ME",
"license": "230521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PNMI - MH Adult",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PNMI - MH Adult",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.