3RIVERS INC. NPI 1174769822

NPI Information

  • NPI: 1174769822
  • Provider Name: 3RIVERS, INC.
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • :
  • CLIA Number: 20D2200650
  • Address: 15 SAUNDERS WAY
    SUITE 500G
    WESTBROOK, ME
    ZIP 04092
  • Phone: (207) 523-5170

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NPI Details

3RIVERS, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Westbrook, ME. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. 3RIVERS, INC. NPI is 1174769822. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

15 SAUNDERS WAY
SUITE 500G
WESTBROOK, ME
ZIP 04092-833
Phone: (207) 523-5170
Fax: (207) 854-1787

The provider's authorized official is Ann-marie Mayberry .
The authorized official title is Ceo and has the following contact phone number (207) 523-5171.

The CLIA number assigned to this NPI record is 20D2200650 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/31/2008 and was last updated on 7/16/2025.

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 Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesALLS2704MAINENo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesALLS2699MAINENo
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesALLS2706MAINENo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesALLS3093MAINENo
5320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesALLS3094MAINENo
6320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesALLS3206MAINENo
7320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesALLS3183MAINEYes

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
1111150001MEDICAIDMAINE
2111150002MEDICAIDMAINE
3111150003MEDICAIDMAINE
4111150006MEDICAIDMAINE
5111150000MEDICAIDMAINE
6111150004MEDICAIDMAINE
7111150005MEDICAIDMAINE

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: 11/21/2025

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