Active NPI
Alternative Residential Care
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Windham, ME
National Provider Identifier
1811528920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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, 2020
- 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. Harrison Kelvin Deah Jr.
- Title
- Ceo
- Phone
- (207) 321-8600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.