Active NPI
Kujali LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Lewiston, ME
National Provider Identifier
1881436327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- KUJALI LLC
- Doing business as
- KUJALI LLC
- Practice address
- 306 Pine St Apt 2
Lewiston, ME 04240-6309 - Phone
- (626) 630-9798
- NPI assigned
- Jun 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Toussaint Byemba Kilongo
- Title
- Ceo
- Phone
- (626) 630-9798
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
306 Pine St Apt 2
Lewiston, ME 04240-6309
Mailing address
62 Portland Rd Ste 25a
Kennebunk, ME 04043-6650
Phone (626) 630-9798
Other names 1
- KUJALI LLC
National Provider Directory
National Provider DirectoryLocations
306 Pine St
Apt 2
Lewiston, ME 04240
Phone (626) 630-9798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717632000000",
"number": "1881436327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 PORTLAND RD STE 25A",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436650",
"telephone_number": "626-630-9798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 PINE ST APT 2",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042406309",
"telephone_number": "626-630-9798"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KUJALI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-05",
"status": "A",
"authorized_official_last_name": "BYEMBA KILONGO",
"authorized_official_first_name": "TOUSSAINT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "626-630-9798"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KUJALI LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.