Palms Residential Care
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Address: 1500 Forest Ave Apt 13d, Portland, ME 04103-1846
Phone: 9786208376

Palms Residential Care (NPI# 1265033088) 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) 1265033088
Entity Type Organization
Organization Name PALMS RESIDENTIAL CARE
Practice Address 1500 Forest Ave Apt 13d
Portland
ME 04103-1846
Practice Telephone 9786208376
Mailing Address 1500 Forest Ave Apt 13d
Portland
ME 04103-1846
Mailing Telephone 9786208376
Authorized Official Name Patrick Kifokie Mulonda (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 9786208376
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-06
Last Update Date 2020-11-06

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
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
1427256718 Jennifer Yuenching Lui Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3415 Se Powell Blvd, Portland, OR 97202-3371 2007-07-07
Find all providers in PORTLAND

Office Location

Street Address 1500 FOREST AVE APT 13D
City PORTLAND
State ME
Zip Code 04103-1846

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

Search similar providers

City PORTLAND
Zip Code 04103

Improve Information

Please provide details on Palms Residential Care by submitting the form below, or post on facebook comments.

Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.

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.