Pierce Residential Care

Primary specialty

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

License

ALLS 3008 Issued in ME

Legal business name

PIERCE RESIDENTIAL CARE

Practice address

24 Rock Ridge Rd
Dedham, ME 04429

Phone

(207) 843-0724

NPI assigned

Apr 21, 2009

Last updated

Sep 10, 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. Phillip E Pierce Jr.

Title

Foster Home Provider

Phone

(207) 843-0724

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1801030986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "HOLDEN",
            "state": "ME",
            "postal_code": "04429",
            "telephone_number": "207-843-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ROCK RIDGE RD",
            "city": "DEDHAM",
            "state": "ME",
            "postal_code": "04429",
            "telephone_number": "207-843-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERCE RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FOSTER HOME PROVIDER",
        "authorized_official_telephone_number": "207-843-0724",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "ME",
            "license": "ALLS 3008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1D 208240000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dedham School Department
• Dedham School Dept.
• Kimberly Ann Greenlaw, PT
• Lorrie Mae Mitchell, LMSW-CC
• Ben Sidaway, PH.D., PT
• Sondra Siegel, PT
• Stonebrook Therapy, LLC
• Elaine C Suzor

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Dedham, ME
• Providers in Dedham, 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 Sep 10, 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.