Joyful Residential Services LLC

Primary specialty

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

Legal business name

JOYFUL RESIDENTIAL SERVICES LLC

Practice address

696 Westbrook St Apt 10E
South Portland, ME 04106-1943

Phone

(207) 420-5649

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Jean Damascene Habimana Sr.

Title

Ceo

Phone

(207) 420-5649

Specialties & licenses 1

Addresses

Other names 1

• Joyful Residential Services LLC Doing business as

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1992401525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 WESTBROOK ST APT 10E",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061943",
            "telephone_number": "207-420-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 WESTBROOK ST APT 10E",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061943",
            "telephone_number": "207-420-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYFUL RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-05",
        "status": "A",
        "authorized_official_last_name": "HABIMANA",
        "authorized_official_first_name": "JEAN DAMASCENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-420-5649",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joyful Residential Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian A Jorns, DPT
• Joseph a Russo OD, P.C.
• Megan Josephs
• Josie and the Little Angels
• Stephanie L Joy, MD
• Clark E Judge, MD
• Brian M Jumper, MD
• Carol Lynn C Kabacoff, PSY.D.
• Caitlin Kadnar, LCPC, NCC
• Joseph B Kahan, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in South Portland, ME
• Providers in South Portland, 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 6, 2023; 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.