M.S.a.D. #61

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

M.S.A.D. #61

Practice address

877 Poland Spring Rd
Casco, ME 04015

Phone

(207) 627-4578

NPI assigned

May 8, 2007

Last updated

Aug 13, 2008By 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

Ms. Lisa Hanson

Title

Director of Special Services

Phone

(207) 627-4578

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Msad 613 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• M.S.a.D. #61

  • Developmentally Disabled Services Day Training Agency
  • Casco, ME
  • NPI 1669685442
  NPD tax ID
• Maine Administrative School District No 61

  • Local Education Agency (LEA)
  • Bridgton, ME
  • NPI 1013120898
  NPD tax ID

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1841403722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 POLAND SPRING RD",
            "city": "CASCO",
            "state": "ME",
            "postal_code": "04015",
            "telephone_number": "207-627-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 POLAND SPRING RD",
            "city": "CASCO",
            "state": "ME",
            "postal_code": "04015",
            "telephone_number": "207-627-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.S.A.D. #61",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES",
        "authorized_official_telephone_number": "207-627-4578",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431765100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Infinite Potential, LLC
• Leanne Marie Inman, LCSW-CC
• Jackpot (Casco Wellness Center)
• Living Innovations Support Services LLC
• M.S.a.D. #61
• Deborah Mahoney
• Maine Surgical Assistants, PC
• Misty Marston, LMSW
• Virginia Russell Mujica, CCC-SLP
• Clifford E Pierce

• Case Management Agency in Casco, ME
• Providers in Casco, 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 Aug 13, 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.