Community Living Association

LBN: Community Living Association
Community Living Association is an health care organization with primary practice located at 45 School St , Houlton ME 04730-2010. The organization recently has 2 registered licenses in different health care specialties including Agencies / Nursing Care, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Nursing Care is the primary health care specialty. Community Living Association can be contacted via phone (207) 532-9446, or through Hogan, Shannon Jon via phone (207) 532-9446.

Contact Information

Primary practice address
45 School St Houlton ME 04730-2010
Phone: (207) 532-9446
Fax: (207) 532-1359
Website:
Map and Directions
Authorized official contact:
Name: Hogan, Shannon Jon
Phone: (207) 532-9446

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X 36274 Maine
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 36310 Maine
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X ALLS2160 Maine
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X ALLS2161 Maine
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X ALLS1110 Maine
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X ALLS2148 Maine
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X ALLS2155 Maine
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X ALLS2154 Maine
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X ALLS2193 Maine
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X ALLS2147 Maine

Profile Details

NPI number 1144274564
LBN Legal business name Community Living Association
DBA Doing business as
Authorized official Hogan, Shannon Jon
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Jun 10th, 2010 - about 14 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 1144274564 NPPES
Maine MEDICAID 104190100
Maine MEDICAID 104190209
Maine MEDICAID 104190200
Maine MEDICAID 104190202
Maine MEDICAID 104190205
Maine MEDICAID 104190204
Maine MEDICAID 104190207
Maine MEDICAID 104190208
Maine MEDICAID 104190210
Maine MEDICAID 104190101
Maine MEDICAID 104190206
Maine MEDICAID 104190000
Maine MEDICAID 104190201
Maine MEDICAID 104190203
Maine MEDICAID 431576700

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