Hosanah Care

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HOSANAH CARE

Practice address

13 York Ridge Drive
North Yarmouth, ME 04097

Phone

(207) 618-3411

NPI assigned

Nov 28, 2024

Last updated

Nov 28, 2024By 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

Enodi Lola Lohomboli

Title

Chief Executive Officer

Phone

(207) 618-3411

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732752000000",
    "number": "1912723586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 YORK RIDGE DRIVE",
            "city": "NORTH YARMOUTH",
            "state": "ME",
            "postal_code": "04097",
            "telephone_number": "207-618-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 YORK RIDGE DRIVE",
            "city": "NORTH YARMOUTH",
            "state": "ME",
            "postal_code": "04097",
            "telephone_number": "207-618-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSANAH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A",
        "authorized_official_last_name": "LOHOMBOLI",
        "authorized_official_first_name": "ENODI",
        "authorized_official_middle_name": "LOLA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "207-618-3411"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": []
}

• Joseph Richard Fitzpatrick, PSYD
• Nicole Elizabeth Glidden, P.T.
• Lisa Nada Glines, L.M.T.
• Russell P Graham
• S Kimble Greene, PHD
• Emily Lou Isom, M.S. CCC-SLP
• Sharon Lee Kuhrt
• Zoe Laferriere, L-ATC
• Laurie Milne, MSW, LCSW, LLC
• Denise Lise Madore, RD, CSP, CNSC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Yarmouth, ME
• Providers in North Yarmouth, ME by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.

Verify at the official NPI Registry.