Organization Active NPI

Maine School Administrative District No 55

  • Developmentally Disabled Services Day Training Agency
  • Hiram, ME
National Provider Identifier
1821201609
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MAINE SCHOOL ADMINISTRATIVE DISTRICT NO 55
Practice address
213 So. Hiram Rd.
Hiram, ME 04041
Phone
(207) 625-3285
NPI assigned
May 8, 2007
Last updated
Jul 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Ms. Jill Dehmer
Title
Business Manager
Phone
(207) 625-2490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

213 So. Hiram Rd.
Hiram, ME 04041

Mailing address

137 South Hiram Road
Hiram, ME 04041
Phone (207) 625-2490

Other identifiers 1

IdentifierTypeStateIssuer
103830002MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Maine School Administrative District No 552 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

213 S Hiram Rd
Hiram, ME 04041
Phone (207) 625-3285

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1821201609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 SOUTH HIRAM ROAD",
            "city": "HIRAM",
            "state": "ME",
            "postal_code": "04041",
            "telephone_number": "207-625-2490",
            "fax_number": "207-625-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 SO. HIRAM RD.",
            "city": "HIRAM",
            "state": "ME",
            "postal_code": "04041",
            "telephone_number": "207-625-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE SCHOOL ADMINISTRATIVE DISTRICT NO 55",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "DEHMER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "207-625-2490",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103830002",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiram, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.