Own House Residential Care LLC

Primary specialty

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

Legal business name

OWN HOUSE RESIDENTIAL CARE LLC

Practice address

8 Jordan Dr
Biddeford, ME 04005-4046

Phone

(207) 312-7870

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Malual Mabur, PANPI 1861916926

Title

Ceo

Phone

(207) 312-7870

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malual M Mabur, PA

  • Physician Assistant
  • Portland, ME
  • NPI 1861916926
  NPD Authorized official

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1992398150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JORDAN DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040054046",
            "telephone_number": "207-312-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JORDAN DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040054046",
            "telephone_number": "207-312-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWN HOUSE RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "MABUR",
        "authorized_official_first_name": "MALUAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-312-7870",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ouellette
• Julia Alexandra Ouellette, LCPC-C
• Stacey M. Ouellette, LCSW
• Gwen Enid Owen, LICSW
• Quincy Kathleen Owens, MS, OTR/L
• Betsey C. Pace, LCSW
• Sharade Pailoor, M.D.
• Allison Palmer
• Ann Mary Palozzi, PSY.D.
• Nathalie D Paolino, D.O.

• All providers in Biddeford, ME
• 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 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.