Atlantic Community Support Llc

LBN: Atlantic Community Support Llc
Atlantic Community Support Llc is an health care organization with primary practice located at 75 Bishop St Ste 13 , Portland ME 04103-2614. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Atlantic Community Support Llc can be contacted via phone (207) 405-7181, or through Suja, Kamil Aweis via phone (207) 405-7181.

Contact Information

Primary practice address
75 Bishop St Ste 13 Portland ME 04103-2614
Phone: (207) 405-7181
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Suja, Kamil Aweis
Phone: (207) 405-7181

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1437792199
LBN Legal business name Atlantic Community Support Llc
DBA Doing business as
Authorized official Suja, Kamil Aweis
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2019
Last updated Oct 24th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437792199 NPPES
Maine MEDICAID 84-3458034

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