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MAS HOME CARE OF NAME NPI 1558647461


NPI Information

NPI: 1558647461
Provider Name: MAS HOME CARE OF NAME
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
360 HARLOW ST
BANGOR, ME
ZIP 04401
Phone: (207) 561-9533
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MAS HOME CARE OF NAME is a community behavioral health in Bangor, ME. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MAS HOME CARE OF NAME NPI is 1558647461. The provider is registered as an organization entity type.

The provider's business location address is:

360 HARLOW ST
BANGOR, ME
ZIP 04401-908
Phone: (207) 561-9533
Fax: (207) 561-9538

The provider's authorized official is Ken Johnson .
The authorized official title is Vice-president and has the following contact phone number 16032960953.

The enumeration date for this NPI number is 10/25/2011 and was last updated on 10/25/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthMC12138MAINEYes

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: 11/14/2023

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