Positive Residential Care, LLC

Primary specialty

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

Legal business name

POSITIVE RESIDENTIAL CARE, LLC

Doing business as

Positive Residential Care, LLC

Practice address

586 Westbrook St Unit 310
South Portland, ME 04106-1403

Phone

(207) 518-0370

NPI assigned

Feb 6, 2024

Last updated

Feb 6, 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. Jonas S Manywa Sr.

Title

Operation Director

Phone

(207) 518-0370

Specialties & licenses 1

Addresses

Other names 1

• Positive Residential Care, LLC Doing business as

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1730942236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 WESTBROOK ST UNIT 310",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061403",
            "telephone_number": "207-518-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 WESTBROOK ST UNIT 310",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061403",
            "telephone_number": "207-518-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "MANYWA",
        "authorized_official_first_name": "JONAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPERATION DIRECTOR",
        "authorized_official_telephone_number": "207-518-0370",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Residential Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portland Community Health Center (Greater Portland Health at South Portland High School)
• Portland Community Health Center (Greater Portland Health)
• Portland Community Health Center (South Portland Community Health Center at Brick Hill)
• Portland Orthopaedic Foot and Ankle Center
• Portland Pediatric Speech Therapy
• Jesse R Potter, ATC, LAT
• Debra Pow, LMSWCC
• Henry Powell, MSOTR/L
• John Preston Powell, MD
• Powers of the Healing Arts Therapy and Training Center, LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in South Portland, ME
• Providers in South Portland, 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 Feb 6, 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.