SPURWINK SERVICES NPI 1295994804

NPI Information

NPI: 1295994804
Provider Name: SPURWINK SERVICES
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
899 RIVERSIDE ST
PORTLAND, ME
ZIP 04103
Phone: (207) 871-1200
Get Directions

SPURWINK SERVICES is a residential treatment facility emotionally disturbed children in Portland, ME. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. SPURWINK SERVICES NPI is 1295994804. The provider is registered as an organization entity type.

The provider's business location address is:

899 RIVERSIDE ST
PORTLAND, ME
ZIP 04103-070
Phone: (207) 871-1200
Fax: (207) 871-1232

The provider's authorized official is Eric Meyer .
The authorized official title is President and has the following contact phone number (207) 871-1200.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 3/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	229881	MAINE	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness			No
3	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	229881	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30832840	MEDICAID	NEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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