Cononiah Residential Care LLC

Primary specialty

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

Legal business name

CONONIAH RESIDENTIAL CARE LLC

Doing business as

Cononiah Residential Care LLC

Practice address

3 Townhouse Dr
South Portland, ME 04106-1948

Phone

(207) 450-2063

NPI assigned

Jun 8, 2024

Last updated

Jun 8, 2024By 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

Mr. Narciso Sambo Sr.

Title

Ceo

Phone

(207) 450-2063

Specialties & licenses 1

Addresses

Other names 1

• Cononiah Residential Care LLC Doing business as

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

{
    "created_epoch": "1717804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717804800000",
    "number": "1720820079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TOWNHOUSE DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061948",
            "telephone_number": "207-450-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TOWNHOUSE DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061948",
            "telephone_number": "207-450-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONONIAH RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-08",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A",
        "authorized_official_last_name": "SAMBO",
        "authorized_official_first_name": "NARCISO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-450-2063",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cononiah Residential Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Conley
• Connections for Kids
• Connections for Kids
• Mary J Connolly, MD
• Mary Lee Connolly
• Christine Nicole Constant, LMSW-CC
• Nadia Francis Conti, D.V.M
• Continuemed Inc
• Christine Joan Cooke, PH.D.
• Noelle Christine Cooper, AGNP-C

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in South Portland, ME
• Providers in South Portland, 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 8, 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.