NPI Code Detail JSON Logo

1083539316 NPI number — ARC OF MAINE LLC

NPI Number: 1083539316
Health Care Provider/Practitioner: ARC OF MAINE LLC

Information about “1083539316” NPI (ARC OF MAINE LLC) exists in 1083539316 in HTML format HTML  |  1083539316 in plain Text format TXT  |  1083539316 in PDF (Portable Document Format) PDF  |  1083539316 in an XML format XML  formats.

NPI Number : 1083539316 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083539316",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ARC OF MAINE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "386 MAIN ST STE 422",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDDLETOWN",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06457-3360",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "203-779-5799",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "500 SOUTHBOROUGH DR STE 205",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PORTLAND",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04106-6959",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "203-779-5799",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/13/2026",
    "LastUpdateDate": "08/13/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NANKEE",
    "AuthorizedOfficialFirstName": "RICH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "203-242-5986",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QR0405X",
          "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "324500000X",
          "TaxonomyName": "Substance Abuse Rehabilitation Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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