Granite Bay Care, Inc

LBN: Granite Bay Care, Inc
Granite Bay Care, Inc is an health care organization with primary practice located at 1037 Forest Ave , Portland ME 04103-3396. 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. Granite Bay Care, Inc can be contacted via phone (207) 878-3229, or through Mumpini, Kasai via phone (603) 224-0044.

Contact Information

Primary practice address
1037 Forest Ave Portland ME 04103-3396
Phone: (207) 878-3229
Fax: (207) 797-3018
Website:
Map and Directions
Authorized official contact:
Name: Mumpini, Kasai MBA
Phone: (603) 224-0044

Health care specialties

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

Profile Details

NPI number 1518022763
LBN Legal business name Granite Bay Care, Inc
DBA Doing business as
Authorized official Mumpini, Kasai MBA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 22nd, 2009 - about 16 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 1518022763 NPPES
Maine MEDICAID 417080000

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