Healthcare Provider Details

I. General information

NPI: 1619811072
Provider Name (Legal Business Name): RIVERVIEW RESIDENTIAL SUPPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 RIVERVIEW LANE
ADDISON ME
04606
US

IV. Provider business mailing address

PO BOX 146
ADDISON ME
04606-0146
US

V. Phone/Fax

Practice location:
  • Phone: 207-598-6979
  • Fax:
Mailing address:
  • Phone: 207-598-6979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHRISTOPHER CHARTRAND
Title or Position: OWNER
Credential:
Phone: 207-598-6979