Healthcare Provider Details

I. General information

NPI: 1073653754
Provider Name (Legal Business Name): DOWNEAST HORIZONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 STATE HIGHWAY 3
BAR HARBOR ME
04609-7131
US

IV. Provider business mailing address

1200 STATE HIGHWAY 3
BAR HARBOR ME
04609-7131
US

V. Phone/Fax

Practice location:
  • Phone: 207-288-4234
  • Fax: 207-288-1056
Mailing address:
  • Phone: 207-288-4234
  • Fax: 207-288-1056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateME

VIII. Authorized Official

Name: MRS. AMANDA LIN DAVIS
Title or Position: BUSINESS MANAGER
Credential:
Phone: 207-288-4234