Alpha One

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ALPHA ONE

Practice address

127 Main St
South Portland, ME 04106-2647

Phone

(207) 767-2189

Fax

(207) 767-7386

NPI assigned

Apr 22, 2009

Last updated

Apr 22, 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. Dennis Fitzgibbons

Title

Executive Director

Phone

(207) 767-2189

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Attendant Services Other name

Locations

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1821232802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MAIN ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062647",
            "telephone_number": "207-767-2189",
            "fax_number": "207-799-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 MAIN ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062647",
            "telephone_number": "207-767-2189",
            "fax_number": "207-767-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA ONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "FITZGIBBONS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-767-2189",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110660000",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431733401",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110660100",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431733400",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Attendant Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Management Agency in South Portland, ME
• Providers in South Portland, ME by specialty
• Case Management Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.