BVP RESIDENTIAL CARE LLC NPI 1326812678

NPI Information

NPI: 1326812678
Provider Name: BVP RESIDENTIAL CARE, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
143 GRANT ST APT 20
PORTLAND, ME
ZIP 04101
Phone: (210) 904-5496
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BVP RESIDENTIAL CARE, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Portland, 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. BVP RESIDENTIAL CARE, LLC NPI is 1326812678. The provider is registered as an organization entity type.

The provider's business location address is:

143 GRANT ST APT 20
PORTLAND, ME
ZIP 04101-114
Phone: (210) 904-5496

The provider's authorized official is Patrick Runezerwa .
The authorized official title is Managing Director and has the following contact phone number (210) 904-5496.

The enumeration date for this NPI number is 11/7/2023 and was last updated on 11/7/2023.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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: 5/5/2024

NPI Synchronization or Removal

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