Healthcare Provider Details
I. General information
NPI: 1558248534
Provider Name (Legal Business Name): NEW-DAY HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
35 BRACKETT ST APT 1
WESTBROOK ME
04092-3370
US
IV. Provider business mailing address
PO BOX 17732
PORTLAND ME
04112-8732
US
V. Phone/Fax
- Phone: 207-599-8878
- Fax:
- Phone: 207-599-8878
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3104A0625X |
| Taxonomy | Assisted Living Facility (Mental Illness) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3104A0630X |
| Taxonomy | Assisted Living Facility (Behavioral Disturbances) |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320800000X |
| Taxonomy | Mental Illness Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
GABRIEL
WANGA
CANDIDO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 207-599-8878