Active NPI
Intare Healthcare Systems, LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Biddeford, ME
National Provider Identifier
1790465888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- INTARE HEALTHCARE SYSTEMS, LLC
- Practice address
- 190 Elm St
Apt 2
Biddeford, ME 04005-2394 - Phone
- (207) 423-5362
- NPI assigned
- Jul 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Pacifique Iradukunda
- Title
- Managing Member
- Phone
- (207) 423-5362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
190 Elm St
Apt 2
Biddeford, ME 04005-2394
Mailing address
190 Elm St
Apt 2
Biddeford, ME 04005-2394
Phone (207) 423-5362
Other names 1
- Intare Healthcare Systems LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721865600000",
"number": "1790465888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 ELM ST",
"address_2": "APT 2",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040052394",
"telephone_number": "207-423-5362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 ELM ST",
"address_2": "APT 2",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040052394",
"telephone_number": "207-423-5362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTARE HEALTHCARE SYSTEMS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-24",
"last_updated": "2024-07-25",
"certification_date": "2023-07-23",
"status": "A",
"authorized_official_last_name": "IRADUKUNDA",
"authorized_official_first_name": "PACIFIQUE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "207-423-5362",
"authorized_official_name_prefix": "Mr."
},
"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": "Intare Healthcare Systems LLC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Intare Healthcare Systems LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.