Home Based Waiver

LBN: Ohi
Home Based Waiver is an health care organization with primary practice located at 203 Maine Ave , Bangor ME 04401-4331. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Ohi can be contacted via phone (207) 848-5804, or through Ward, Melinda via phone (207) 605-1256.

Contact Information

Primary practice address
203 Maine Ave Bangor ME 04401-4331
Phone: (207) 848-5804
Fax: (207) 989-4050
Website:
Map and Directions
Authorized official contact:
Name: Ward, Melinda
Phone: (207) 605-1256

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1427121243
LBN Legal business name Ohi
DBA Doing business as Home Based Waiver
Authorized official Ward, Melinda
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 17th, 2006
Last updated Dec 5th, 2023 - about 2 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 1427121243 NPPES
Maine MEDICAID 109800220
Maine MEDICAID 109800204
Maine MEDICAID 109800214
Maine MEDICAID 109800217
Maine MEDICAID 109800216
Maine MEDICAID 109800205
Maine MEDICAID 109800213
Maine MEDICAID 109800219
Maine MEDICAID 109800206
Maine MEDICAID 109800208
Maine MEDICAID 109800201
Maine MEDICAID 109800207
Maine MEDICAID 109800209
Maine MEDICAID 109800215
Maine MEDICAID 109800200

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