Active NPI
Mainehealth
Doing business as MMC Vocational Services
- Developmentally Disabled Services Day Training Agency
- Portland, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- MAINEHEALTH
- Doing business as
- MMC Vocational Services
- Practice address
- 39 Forest Ave
Portland, ME 04101 - Phone
- (207) 662-4303
- NPI assigned
- May 26, 2010
- Last updated
- May 11, 2020
- Organization subpart
- Yes
- Parent organization
- MAINEHEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lugene Anthony Inzana
- Title
- Associate Cfo
- Phone
- (207) 662-3538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | Primary |
Addresses
Primary practice location
39 Forest Ave
Portland, ME 04101
Mailing address
22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-0111
Other names 1
- MMC Vocational Services
National Provider Directory
National Provider Directory- Tax ID family
- Maine Medical Assoc
- Part of
- Maine Medical Assoc
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Franklin Memorial Hospital
- Rehabilitation Hospital Unit
- Farmington, ME
- NPI 1699453159
-
dba Maine Medical Center Physical Therapy
- Physical Therapist
- Portland, ME
- NPI 1710218078
-
dba MaineHealth Orthopedics and Sports Medicine
- General Acute Care Hospital
- Brunswick, ME
- NPI 1740109313
-
dba MaineHealth Pharmacy Maine Medical Center Portland
- Community/Retail Pharmacy
- Portland, ME
- NPI 1740685072
-
dba MaineHealth Cardiac and Pulmonary Rehab
- General Acute Care Hospital
- Brunswick, ME
- NPI 1760301303
-
dba MaineHealth Primary Care Walk-in Care
- General Acute Care Hospital
- Rockland, ME
- NPI 1780512517
-
dba MaineHealth Livermore Falls Health Center
- Rural Health Clinic/Center
- Livermore Falls, ME
- NPI 1811451081
Locations
39 Forest Ave
Portland, ME 04101
Phone (207) 662-2088
901 Washington Ave
Ste 203
Portland, ME 04103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589155200000",
"number": "1831418128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 BRAMHALL ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023134",
"telephone_number": "207-662-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 FOREST AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04101",
"telephone_number": "207-662-4303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINEHEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MAINEHEALTH",
"enumeration_date": "2010-05-26",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A",
"authorized_official_last_name": "INZANA",
"authorized_official_first_name": "LUGENE",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "ASSOCIATE CFO",
"authorized_official_telephone_number": "207-662-3538"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MMC Vocational Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MMC Vocational Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, ME
- Mainehealth (Maine Medical Center Neonate Eye)
- Mainehealth (MaineHealth Pharmacy Maine Medical Center Portland)
- Mainehealth (MaineHealth Maine Medical Center)
- Mainehealth (Maine Transplant Program)
- Mainehealth (Maine Medical Partners Pediatric Surgery)
- Mainehealth
- Mainehealth (MMC CF Clinic)
- Mainely Nutrition LLC
- Mainely Smiles (Mainely Teeth)
- Mainerscare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.