Opportunity Farm for Boys & Girls

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

License

484744 Issued in ME

Legal business name

OPPORTUNITY FARM FOR BOYS & GIRLS

Practice address

215 Gloucester Hill Road
New Gloucester, ME 04260

Phone

(207) 926-4532

Fax

(207) 926-4529

NPI assigned

May 23, 2007

Last updated

Feb 18, 2009By 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

Mr. Ronald J. Scott

Title

President

Phone

(207) 926-4532

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1922218593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "NEW GLOUCESTER",
            "state": "ME",
            "postal_code": "042600065",
            "telephone_number": "207-926-4532",
            "fax_number": "207-926-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GLOUCESTER HILL ROAD",
            "city": "NEW GLOUCESTER",
            "state": "ME",
            "postal_code": "04260",
            "telephone_number": "207-926-4532",
            "fax_number": "207-926-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITY FARM FOR BOYS & GIRLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-926-4532",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "ME",
            "license": "484744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102190000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lodging Provider in New Gloucester, ME
• Providers in New Gloucester, ME by specialty
• Lodging Provider in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.