MEDICARE: LUCAS RESIDENTIAL SERVICES LLC

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

General Provider Information

NPI Number	:	1952095069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUCAS RESIDENTIAL SERVICES LLC

Provider Business Mailing Address
First Line	:	95 LONG HILL RD
Second Line	:
City	:	GRAY
State	:	ME
Zip	:	04039-9300
Country	:	US
Telephone Number	:	207-239-9141
Fax Number	:

Provider Business Practice Location Address
First Line	:	95 LONG HILL RD
Second Line	:
City	:	GRAY
State	:	ME
Zip	:	04039-9300
Country	:	US
Telephone Number	:	207-239-9141
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRANCA PEMBE
Credential	:
Telephone Number	:	207-239-9141

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	06/05/2023

Similar Medicare Providers

1629593694 — WALGREEN EASTERN CO INC
Practice Location Address:

62 W GRAY RD
GRAY, ME
04039-9772

Practice Phone: 207-657-2333
Practice Fax: 207-657-2062

1922488600 — MICHELLE C STEVENS
Practice Location Address:

PO BOX 592
GRAY, ME
04039-0592

Practice Phone: 626-461-9295
Practice Fax:

1194714733 — DR. JONATHAN F COOK OD
Practice Location Address:

6 TURNPIKE ACRES ROAD
GRAY, ME
04039

Practice Phone: 207-657-4488
Practice Fax: 207-657-4574

1932188323 — FREDERICK A VAN MOURIK
Practice Location Address:

116 SHAKER RD , GRAY
GRAY, ME
04039-9629

Practice Phone: 207-657-3308
Practice Fax: 207-657-3309

1740269190 — EDWIN RONALD FEINTECH PHD PSYCHOLOGY
Practice Location Address:

15 GRAYSTONE RD
GRAY, ME
04039-7517

Practice Phone: 207-415-2908
Practice Fax:

1154385995 — DR. MICHAEL R MARCOTTE D.C.
Practice Location Address:

20 SHAKER ROAD
GRAY, ME
04039-9531

Practice Phone: 207-657-7101
Practice Fax: 207-657-7165

Directions to “LUCAS RESIDENTIAL SERVICES LLC ” 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.