St Remie's Foster Home

Primary specialty

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

Legal business name

ST REMIE'S FOSTER HOME

Practice address

109 Church St
Van Buren, ME 04785-1445

Phone

(207) 868-5625

Fax

(207) 868-5625

NPI assigned

Feb 28, 2009

Last updated

Feb 28, 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

Mrs. Lena Ruest

Title

Foster Home Opoerator

Phone

(207) 868-5625

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1235779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235779200000",
    "number": "1972743110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CHURCH ST",
            "address_2": "PO BOX 138",
            "city": "VAN BUREN",
            "state": "ME",
            "postal_code": "047851445",
            "telephone_number": "207-868-5625",
            "fax_number": "207-868-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CHURCH ST",
            "city": "VAN BUREN",
            "state": "ME",
            "postal_code": "047851445",
            "telephone_number": "207-868-5625",
            "fax_number": "207-868-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST REMIE'S FOSTER HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-28",
        "last_updated": "2009-02-28",
        "status": "A",
        "authorized_official_last_name": "RUEST",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "FOSTER HOME OPOERATOR",
        "authorized_official_telephone_number": "207-868-5625",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206850001",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Van Buren, ME
• Providers in Van Buren, 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 Feb 28, 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.