Organization Active NPI

Lee Residential Care

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hampden, ME
National Provider Identifier
1982842910
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
LEE RESIDENTIAL CARE
Practice address
76 Laskey LN
Hampden, ME 04444-1633
Phone
(207) 862-2643
Fax
(207) 862-2643
NPI assigned
Jan 29, 2009
Last updated
Jan 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Karen Marie Lee, RN
Title
Administrator/Owner
Phone
(207) 862-2643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

76 Laskey LN
Hampden, ME 04444-1633

Mailing address

76 Laskey LN
Hampden, ME 04444-1633
Phone (207) 862-2643

Other identifiers 1

IdentifierTypeStateIssuer
432851300MedicaidME

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1982842910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 LASKEY LN",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441633",
            "telephone_number": "207-862-2643",
            "fax_number": "207-862-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 LASKEY LN",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441633",
            "telephone_number": "207-862-2643",
            "fax_number": "207-862-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "207-862-2643",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432851300",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampden, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.