Black Bear Support Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLACK BEAR SUPPORT SERVICES, LLC

Practice address

571 Sabattus Street
Suite 15
Lewiston, ME 04240

Phone

(207) 740-0667

NPI assigned

Feb 5, 2016

Last updated

Feb 5, 2016By 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

Miss Laura Elizabeth Catevenis

Title

Owner

Phone

(207) 740-0667

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1861850828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 SABATTUS STREET",
            "address_2": "SUITE 15",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 SABATTUS STREET",
            "address_2": "SUITE 15",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-740-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK BEAR SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "CATEVENIS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-740-0667",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Maine, Inc. (Fresenius Kidney Care Greater Lewiston)
• Bio-Medical Applications of Maine, Inc. (Fresenius Kidney Care Lewiston)
• Oswaldo Bisbal, MD
• Spence R Bisbing, DO
• Daniel Joseph Bizier, DMD
• Lynn G Blackstone, SLP
• Lauren Blais, NP
• Jason Blake, DO
• Michael Scott Blake, MD, MPH
• Natalie Jeane Blanchard, FNP

• Community/Behavioral Health Agency in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.