Maine Resource Development Corp

Primary specialty

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

License

ALLS3219 Issued in ME

Legal business name

MAINE RESOURCE DEVELOPMENT CORP

Practice address

18 Lincoln St
Portland, ME 04103-4408

Phone

(207) 774-2552

NPI assigned

Feb 11, 2009

Organization subpart

No

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

Authorized official

Name

Jerry Bruce Keene

Title

Administrator

Phone

(207) 774-2552

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Maine Resource Development Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Maine Resource Development Corporation

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1932349107
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Maine Resource Development Corporation

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1932349107
  NPPES parent name

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1770722902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LINCOLN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034408",
            "telephone_number": "207-774-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LINCOLN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034408",
            "telephone_number": "207-774-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE RESOURCE DEVELOPMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "207-774-2552"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ME",
            "license": "ALLS3219",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ME",
            "license": "ALLS3219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109270000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maine Orthopaedic Center, PA
• Maine Orthotic and Prosthetic Rehab Services Inc
• Maine Pediatric Surgical Associates
• Maine Pretrial Services, Inc.
• Maine Prosthodontics
• Maine Resource Development Corporation
• Maine State Interpreters
• Maine Therapy Collective PLLC
• Maine Vocational Associates, Inc.
• Mainehealth

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portland, ME
• Providers in 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 11, 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.