Organization Active NPI

Alternative Residential Care

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Windham, ME
National Provider Identifier
1811528920
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ALTERNATIVE RESIDENTIAL CARE
Practice address
14 Joes Rd
Windham, ME 04062-4515
Phone
(207) 321-8600
NPI assigned
Jan 28, 2020
Last updated
Jan 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Mr. Harrison Kelvin Deah Jr.
Title
Ceo
Phone
(207) 321-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

14 Joes Rd
Windham, ME 04062-4515

Mailing address

14 Joes Rd
Windham, ME 04062-4515
Phone (207) 321-8600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1811528920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JOES RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624515",
            "telephone_number": "207-321-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 JOES RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624515",
            "telephone_number": "207-321-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "DEAH",
        "authorized_official_first_name": "HARRISON",
        "authorized_official_middle_name": "KELVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-321-8600",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.