Pine Peak Care LLC
Community Based Residential Treatment Facility, Mental Illness

Address: 1395 Congress St, Portland, ME 04102-2120
Phone: 2074156894

Pine Peak Care LLC (NPI# 1467097709) 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) 1467097709
Entity Type Organization
Organization Name PINE PEAK CARE LLC
Practice Address 1395 Congress St
Portland
ME 04102-2120
Practice Telephone 2074156894
Mailing Address 13 Sara Ln
Portland
ME 04103-3622
Mailing Telephone 2074156894
Authorized Official Name Mr. Manasse Shingiro (MANAGING MEMBER)
Authorized Official Telephone 2074156894
Authorized Official Credential CRMA
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-11-11
Last Update Date 2019-11-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities
No 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Providers with the same name

NPI Name Taxonomy Address Enumeration
1306480108 Pine Peak Care LLC Community Based Residential Treatment Facility, Mental Illness 13 Sara Ln, Portland, ME 04103-3622 2019-11-05

Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306480108 Pine Peak Care LLC Community Based Residential Treatment Facility, Mental Illness 13 Sara Ln, Portland, ME 04103-3622 2019-11-05
1558732966 John William Thompson Community Based Residential Treatment Facility, Mental Illness 5538 Ne 24th Ave, Portland, OR 97211-6206 2015-10-12
1679941785 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 130 Se 119th Ave, Portland, OR 97216-3704 2015-09-04
1346637816 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 17710 Halsey Crc, Portland, OR 97230 2015-04-22
1700273638 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 17700 Ne Halsey St, Portland, OR 97230-6734 2015-04-17
1447654504 Cascadia Behavioral Health Care Community Based Residential Treatment Facility, Mental Illness 7405 Se 84th Ave, Portland, OR 97266-5840 2014-10-20
1386047132 Columbiacare Services Community Based Residential Treatment Facility, Mental Illness 3530 Se 136th Ave. #5, Portland, OR 97236 2014-10-07
1821491853 Florence Mutie Community Based Residential Treatment Facility, Mental Illness 5123 Sw 62nd Ave, Portland, OR 97221-1170 2014-10-05
1679983381 Janus Youth Program Community Based Residential Treatment Facility, Mental Illness 142 Se 160th Ave Apt 24, Portland, OR 97233-3558 2014-05-02
1558606384 Renew Consulting, Inc. Community Based Residential Treatment Facility, Mental Illness 12810 Sw 62nd Ave, Portland, OR 97219-8034 2012-12-05
Find all providers in PORTLAND

Office Location

Street Address 1395 CONGRESS ST
City PORTLAND
State ME
Zip Code 04102-2120

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740776434 Rishi Phakey Dentist Community Dental, 190 Park Ave, Portland, ME 04102 2018-07-05
1982192571 Jessica Thomas Doula 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 2018-04-29
1699270744 Shane D Kirkegaard Student in an Organized Health Care Education/Training Program Maine Medical Center 22 Bramhall Street, Portland, ME 04102 2018-03-29
1629582705 Felicity Colangelo Social Worker 602 Brighton Ave, Portland, ME 04102 2017-11-28
1033641253 Heidi Horstman Student in an Organized Health Care Education/Training Program 32 Bramhall St, Portland, ME 04102 2017-03-28
1144752494 Al-shawk Home Healthcare, LLC Technician 640 Brighton Ave Ste 8, Portland, ME 04102 2017-03-28
1376074674 Samuel B Potter Student in an Organized Health Care Education/Training Program Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 2017-03-27
1043767536 Kevin De Ruiter Social Worker 129 Pine St Apt 6, Portland, ME 04102 2016-09-01
1053786525 Stephanie Mollica Social Worker 22 Bramhall Strret, Portland, ME 04102 2015-12-09
1730571407 Robert Philbrook Counselor 301 Capisic St., Portland, ME 04102 2015-03-04
Find all providers in zip 04102

Competitor

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City PORTLAND
Zip Code 04102

Improve Information

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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.

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