Active NPI
Rafts Inc
Doing business as Seventy Six Bradley Street
- Assisted Living Facility (Mental Illness)
- Lewiston, ME
National Provider Identifier
1922234053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- License
- ALLS 2761
- Legal business name
- RAFTS INC
- Doing business as
- Seventy Six Bradley Street
- Practice address
- 76 Bradley Street
Lewiston, ME 04240 - Phone
- (207) 784-6995
- Fax
- (207) 784-2398
- NPI assigned
- Jun 3, 2009
- Last updated
- Oct 21, 2024
- Organization subpart
- Yes
- Parent organization
- RELATIVES AND FRIENDS TOGETHER FOR SUPPORT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Harold Strout
- Title
- Administrator
- Phone
- (207) 784-6995
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | ALLS 2761 | ME | Primary |
Addresses
Primary practice location
76 Bradley Street
Lewiston, ME 04240
Mailing address
47 Wood St
Lewiston, ME 04240-6844
Phone (207) 784-6995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164460001 | Medicaid | ME |
Other names 1
- Seventy Six Bradley Street
National Provider Directory
National Provider Directory- Tax ID family
- Rafts Inc
- Part of
- Rafts Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Forty Seven Wood Street
- Assisted Living Facility (Mental Illness)
- Lewiston, ME
- NPI 1386870533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729468800000",
"number": "1922234053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 WOOD ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042406844",
"telephone_number": "207-784-6995",
"fax_number": "207-784-2398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 BRADLEY STREET",
"city": "LEWISTON",
"state": "ME",
"postal_code": "04240",
"telephone_number": "207-784-6995",
"fax_number": "207-784-2398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAFTS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RELATIVES AND FRIENDS TOGETHER FOR SUPPORT",
"enumeration_date": "2009-06-03",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A",
"authorized_official_last_name": "STROUT",
"authorized_official_first_name": "HAROLD",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "207-784-6995",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "ME",
"license": "ALLS 2761",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164460001",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Seventy Six Bradley Street",
"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 Oct 21, 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.