Great Residential Home Care LLC
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Address: 238 Auburn St Apt D37, Portland, ME 04103-2150
Phone: 2075181535

Great Residential Home Care LLC (NPI# 1295321487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1295321487
Entity Type Organization
Organization Name GREAT RESIDENTIAL HOME CARE LLC
Practice Address 238 Auburn St Apt D37
Portland
ME 04103-2150
Practice Telephone 2075181535
Mailing Address 238 Auburn St Apt D37
Portland
ME 04103-2150
Mailing Telephone 2075181535
Authorized Official Name Mr. Joseph Bizimana (CEO)
Authorized Official Telephone 2075181535
Authorized Official Credential DSP
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-12-12
Last Update Date 2020-12-12

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265033088 Palms Residential Care Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1500 Forest Ave Apt 13d, Portland, ME 04103-1846 2020-11-06
1194340646 Veritas Care of Maine Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 570 Brighton Ave Ste 2, Portland, ME 04102-2355 2020-06-10
1790321578 Supportive Partnerships Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1 Fellows St, Portland, ME 04103-2414 2019-11-26
1437792199 Atlantic Community Support LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 75 Bishop St Ste 13, Portland, ME 04103-2614 2019-10-24
1396390811 Golden Group Home Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 40 Bernard Rd, Portland, ME 04103-3611 2019-08-02
1518022763 Granite Bay Care, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1037 Forest Ave, Portland, ME 04103-3396 2006-12-27
1700407665 Hope Family Partners LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1350 Forest Ave Apt 16, Portland, ME 04103-1815 2020-05-01
1780043802 Stults House Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 805 Se 151st Ave, Portland, OR 97233-2916 2016-02-17
1770722902 Maine Resource Development Corp Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 18 Lincoln St, Portland, ME 04103-4408 2009-02-11
1295994804 Spurwink Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 899 Riverside St, Portland, ME 04103-1070 2008-06-09
Find all providers in PORTLAND

Office Location

Street Address 238 AUBURN ST APT D37
City PORTLAND
State ME
Zip Code 04103-2150

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790302677 Hope for All Community Services LLC Community/Behavioral Health 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 2020-06-26
1982251435 Hope Home Healthcare, LLC Home Health 68 Bishop St Unit 3 #2, Portland, ME 04103 2019-08-20
1992367023 Care for Everyone In Home Supportive Care 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 2019-06-28
1093373458 Emanuel Nistrian Student in an Organized Health Care Education/Training Program Une, 716 Stevens Ave., Portland, ME 04103 2019-05-31
1023676483 Robert Montague Student in an Organized Health Care Education/Training Program University of New England, 716 Stevens Ave, Portland, ME 04103 2019-05-31
1154838027 Kimberly Therriault Behavior Technician 527 Ocean Ave Ste 19, Portland, ME 04103 2018-01-02
1285147918 Teresa Maalouf Community Health Worker 23 Cambridge St., Portland, ME 04103 2017-11-16
1578082244 Darcelle Kay Stillman Occupational Therapist 90 Dorothy St, Portland, ME 04103 2017-09-14
1821524943 Engility Enterprises LLC Case Management 1 Coast Lane, Portland, ME 04103 2017-05-10
1720524283 Hannah Rose Kazilionis Counselor 257 Deering Ave # 204, Portland, ME 04103 2017-01-09
Find all providers in zip 04103

Competitor

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City PORTLAND
Zip Code 04103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.