Main Stream Home

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

ALLS 3065 Issued in ME

Legal business name

MAIN STREAM HOME

Practice address

248 Cambridge Rd
Harmony, ME 04942-0008

Phone

(207) 683-2016

NPI assigned

May 19, 2009

Last updated

May 19, 2009By 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. Donald A SmithNPI 1548304355

Title

Administrator

Phone

(207) 683-2016

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Anderson Smith

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Harmony, ME
  • NPI 1548304355

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1730314824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "HARMONY",
            "state": "ME",
            "postal_code": "049420008",
            "telephone_number": "207-683-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 CAMBRIDGE RD",
            "city": "HARMONY",
            "state": "ME",
            "postal_code": "049420008",
            "telephone_number": "207-683-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREAM HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-683-2016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ME",
            "license": "ALLS 3065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215920000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Beth Sanagorski-Phillips, M.S. CCC-SLP
• Donald Anderson Smith
• Pamela Jean Tower
• Town of Harmony (Harmony Regional Ambulance)
• Town of Harmony

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Harmony, ME
• Providers in Harmony, ME by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.