Active NPI
NR Maine LLC
- Community/Behavioral Health Agency
- Waterville, ME
National Provider Identifier
1811707474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- NR MAINE LLC
- Practice address
- 295 Kennedy Memorial Dr
Waterville, ME 04901-4535 - Phone
- (800) 743-6802
- NPI assigned
- Jan 7, 2025
- 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
- Mary Patricia Rodenberg-Roberts
- Title
- VP & Sr. Asst General Counsel
- Phone
- (952) 836-2234
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Rehabilitation Clinic/Center | 261QR0400X |
Addresses
Primary practice location
295 Kennedy Memorial Dr
Waterville, ME 04901-4535
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Phone (800) 388-5150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- NR Maine LLC
Other organizations with this tax ID 27
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Disabilities Residential Treatment Facility
- Oakland, ME
- NPI 1023828696
-
- Physical Disabilities Residential Treatment Facility
- Winthrop, ME
- NPI 1063222917
-
- Physical Disabilities Residential Treatment Facility
- Freeport, ME
- NPI 1073323648
-
- Physical Disabilities Residential Treatment Facility
- Leeds, ME
- NPI 1083424659
-
- Physical Disabilities Residential Treatment Facility
- Portland, ME
- NPI 1164232732
-
- Physical Disabilities Residential Treatment Facility
- Portland, ME
- NPI 1184434755
-
- Community/Behavioral Health Agency
- Lewiston, ME
- NPI 1235949801
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Chelsea, ME
- NPI 1326847575
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Freeport, ME
- NPI 1336948587
-
- Physical Disabilities Residential Treatment Facility
- Winthrop, ME
- NPI 1386454965
-
- Physical Disabilities Residential Treatment Facility
- Chelsea, ME
- NPI 1487464061
-
- Physical Disabilities Residential Treatment Facility
- South Portland, ME
- NPI 1508676180
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Lewiston, ME
- NPI 1770704876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736208000000",
"number": "1811707474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 FRANCE AVE S STE 350",
"city": "EDINA",
"state": "MN",
"postal_code": "554351810",
"telephone_number": "800-388-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 KENNEDY MEMORIAL DR",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014535",
"telephone_number": "800-743-6802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NR MAINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-07",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A",
"authorized_official_last_name": "RODENBERG-ROBERTS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "VP & SR. ASST GENERAL COUNSEL",
"authorized_official_telephone_number": "952-836-2234"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.