Active NPI
Williams Home
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Linneus, ME
National Provider Identifier
1881827574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 320900000X
- Legal business name
- WILLIAMS HOME
- Practice address
- 1429 Bangor Rd
Linneus, ME 04730-5114 - Phone
- (207) 532-2008
- NPI assigned
- Aug 27, 2009
- 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
- Mrs. Anita Louise Williams
- Title
- Home Provider
- Phone
- (207) 532-2008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 320900000X | ME | Primary |
Addresses
Primary practice location
1429 Bangor Rd
Linneus, ME 04730-5114
Mailing address
1429 Bangor Rd
Linneus, ME 04730-5114
Phone (207) 532-2008
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207780000 | Medicaid | ME |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251331200000",
"number": "1881827574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1429 BANGOR RD",
"city": "LINNEUS",
"state": "ME",
"postal_code": "047305114",
"telephone_number": "207-532-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 BANGOR RD",
"city": "LINNEUS",
"state": "ME",
"postal_code": "047305114",
"telephone_number": "207-532-2008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAMS HOME",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-27",
"last_updated": "2009-08-27",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ANITA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "HOME PROVIDER",
"authorized_official_telephone_number": "207-532-2008",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "ME",
"license": "320900000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207780000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Linneus, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.