First Residential Services, LLC

Primary specialty

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

Legal business name

FIRST RESIDENTIAL SERVICES, LLC

Doing business as

First Residential Services, LLC

Practice address

577 US Route 1 Unit B308
Scarborough, ME 04074-1313

Phone

(937) 266-3821

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

Mr. Alfred Rugazura Gasaba Sr.

Title

Ceo

Phone

(937) 266-3821

Specialties & licenses 1

Addresses

Other names 1

• First Residential Services, LLC Doing business as

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": "1982420550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 US ROUTE 1 UNIT B308",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040741313",
            "telephone_number": "937-266-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 US ROUTE 1 UNIT B308",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040741313",
            "telephone_number": "937-266-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A",
        "authorized_official_last_name": "GASABA",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "RUGAZURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-266-3821",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "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": [
        {
            "organization_name": "First Residential Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail Lee Ferry, PA-C
• Field Nutrition, LLC
• Meghan Field, RD
• Dillon Fink, PT
• Martin Robert Finkelstein, PH.D
• Firstlight Home Care of Scarborough
• Cary Nelson Davis Fishburne Jr., MD
• Jessie Catherine Fjeld
• Ellie E Fleming, PMHNP
• Jocelyn Fletcher, LMT

• 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 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.