Colombe Residential Care LLC

Primary specialty

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

Legal business name

COLOMBE RESIDENTIAL CARE LLC

Practice address

33 Glendale Cir
Scarborough, ME 04074-9146

Phone

(207) 252-9094

NPI assigned

Jan 22, 2021

Last updated

Jun 18, 2021By 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

Jabo Mugabe, DSP

Title

Ceo

Phone

(207) 252-9094

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1982294963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 GLENDALE CIR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749146",
            "telephone_number": "207-252-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GLENDALE CIR",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749146",
            "telephone_number": "207-252-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLOMBE RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "MUGABE",
        "authorized_official_first_name": "JABO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-252-9094",
        "authorized_official_credential": "DSP"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Tristram Coffin, M.D.
• Helen Mary Cohen, WHNP
• Mylan C. Cohen, M.D.
• Mary Cole-Almgren, PA-C
• Samantha Jean Cole, LCPC-C
• Brianna Colville, PHARM D
• Compassionate Care Hospice of Maine, LLC
• Lisa Ann Connolly
• Lisa Conway, FNP-C
• Erin Cooke- McAllister, PT

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Scarborough, ME
• Providers in Scarborough, 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 Jun 18, 2021; 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.