MEDICARE: PLEDGE RESIDENTIAL CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1043817422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLEDGE RESIDENTIAL CARE

Provider Business Mailing Address
First Line	:	720 FORT HILL RD
Second Line	:
City	:	GORHAM
State	:	ME
Zip	:	04038-2262
Country	:	US
Telephone Number	:	207-408-7193
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 FORT HILL RD
Second Line	:
City	:	GORHAM
State	:	ME
Zip	:	04038-2262
Country	:	US
Telephone Number	:	207-408-7193
Fax Number	:	207-222-0005

Authorized Official
Title or Position	:	CEO
Name	:	MR. COME - ARISTIDE BRAHOUA
Credential	:
Telephone Number	:	207-408-7193

Provider Enumeration Date	:	10/08/2020
Last Update Date	:	05/01/2023

Similar Medicare Providers

1497642771 — VOP GORHAM LLC
Practice Location Address:

50 NEW PORTLAND RD
GORHAM, ME
04038-1542

Practice Phone: 207-839-5757
Practice Fax:

1902765936 — NEXT CHAPTER CHIROPRACTIC AND NUTRITION PLLC
Practice Location Address:

164 MAIN ST
GORHAM, ME
04038-3300

Practice Phone: 207-839-8181
Practice Fax:

1851954218 — RACHEL L. SULLIVAN PA-C
Practice Location Address:

575 MAIN ST
GORHAM, ME
04038-2623

Practice Phone: 207-839-2559
Practice Fax: 207-523-1135

1902527765 — ALISON SWIGGARD RD
Practice Location Address:

510 MAIN ST
GORHAM, ME
04038-1339

Practice Phone: 207-370-7787
Practice Fax:

1811571599 — CARLY SMITH
Practice Location Address:

28 STATE ST STE 5
GORHAM, ME
04038-1147

Practice Phone: 207-222-0299
Practice Fax:

1487504031 — MRS. BREANNA LEE MATTHEWS
Practice Location Address:

28 STATE ST STE 5
GORHAM, ME
04038-1147

Practice Phone: 207-222-0299
Practice Fax:

Directions to “PLEDGE RESIDENTIAL CARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.