Gethsemane Care Services
Assisted Living Facility (Assisted Living, Behavioral Disturbances)

Address: 10 White Birch Ln Apt 2, Portland, ME 04103-3655
Phone: 2074093950

Gethsemane Care Services (NPI# 1841836673) 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) 1841836673
Entity Type Organization
Organization Name GETHSEMANE CARE SERVICES
Practice Address 10 White Birch Ln Apt 2
Portland
ME 04103-3655
Practice Telephone 2074093950
Mailing Address 10 White Birch Ln Apt 2
Portland
ME 04103-3655
Mailing Telephone 2074093950
Authorized Official Name Jefferson Binda Ngimbi (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 2074093950
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-11-27
Last Update Date 2019-11-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 3104A0630X Assisted Living Facility · Assisted Living, Behavioral Disturbances Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Gethsemane Services Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 3104A0630X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility
Specialization Assisted Living, Behavioral Disturbances

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447636071 Community Services, Inc. Assisted Living Facility 14215 Nw Science Park Dr, Portland, OR 97229-5416 2015-08-05
1346589728 Nursefinders Assisted Living Facility 5510 Nw 146th Ave, Portland, OR 97229-9263 2013-02-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992340509 Day Spring House Assisted Living Facility 218 Fern Rd, Dexter, ME 04930-2609 2019-11-07

Office Location

Street Address 10 WHITE BIRCH LN APT 2
City PORTLAND
State ME
Zip Code 04103-3655

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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
1174027007 Hillary Anne Creed Student in an Organized Health Care Education/Training Program University of New England College of Dental Medicine, 1 College Avenue, Portland, ME 04103 2018-03-23
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.

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