Provider Demographics
NPI:1942012620
Name:CENTRAL MAINE RESIDENTIAL CARE LLC
Entity type:Organization
Organization Name:CENTRAL MAINE RESIDENTIAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NSHIMIRIMANA
Authorized Official - Suffix:
Authorized Official - Credentials:DSP
Authorized Official - Phone:207-344-8378
Mailing Address - Street 1:37 W DARTMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-6149
Mailing Address - Country:US
Mailing Address - Phone:207-344-8378
Mailing Address - Fax:
Practice Address - Street 1:37 W DARTMOUTH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-6149
Practice Address - Country:US
Practice Address - Phone:207-344-8378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities