Ohi, NPI 1720153836
Mental Illness Community Based Residential Treatment Facility in Bangor, ME, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1720153836 |
| NPI Entity Type | Organization |
| Provider Name |
Ohi
Doing Business As |
| Subpart of Organization | Ohi |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 203 Maine Ave, Bangor, ME, US |
| Provider Mailing Address | 203 Maine Ave, Bangor, ME, US, 044014331 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MS. Bonnie Jean Brooks |
| Official Position | C.E.O. |
| Phone | 207-848-5804 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Mental Illness Community Based Residential Treatment Facility |
| Classification |
Community Based Residential Treatment Facility, Mental Illness |
| Group | |
| License No. | 230521 |
| License State | ME |
| Description | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 109800001 | ME | MEDICAID | 05 |
| 109800004 | ME | MEDICAID | 05 |
| 109800002 | ME | MEDICAID | 05 |
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