J & J ADULT FOSTER HOME NPI 1447491386

NPI Information

NPI: 1447491386
Provider Name: J & J ADULT FOSTER HOME

Other Name: JOHN MORIN

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
981 MAIN STREET
VAN BUREN, ME
ZIP 04785
Phone: (207) 868-2911
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J & J ADULT FOSTER HOME is a community based residential treatment facility, intellectual and/or developmental disabilities in Van Buren, 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. J & J ADULT FOSTER HOME NPI is 1447491386. The provider is registered as an organization entity type.
The provider Other Name Is John Morin.

The provider's business location address is:

981 MAIN STREET
VAN BUREN, ME
ZIP 04785-446
Phone: (207) 868-2911
Fax: (207) 868-2911

The provider's authorized official is John Morin .
The authorized official title is Foster Home Operator and has the following contact phone number (207) 868-2911.

The enumeration date for this NPI number is 3/23/2009 and was last updated on 3/23/2009.

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

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	202680000	MEDICAID	MAINE

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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