Project For Supported Living

LBN: Peregrine Corporation
Project For Supported Living is an health care organization with primary practice located at 1011 Forest Avenue , Portland ME 04103. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services. Agencies / Case Management is the primary health care specialty. Peregrine Corporation can be contacted via phone (207) 879-0847, or through Papciak, Carol A. via phone (207) 879-0847.

Contact Information

Primary practice address
1011 Forest Avenue Portland ME 04103
Phone: (207) 879-0847
Fax: (207) 857-2919
Website:
Map and Directions
Authorized official contact:
Name: Papciak, Carol A.
Phone: (207) 879-0847

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1497810964
LBN Legal business name Peregrine Corporation
DBA Doing business as Project For Supported Living
Authorized official Papciak, Carol A.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Jul 21st, 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 1497810964 NPPES
Maine MEDICAID 124470100
Maine MEDICAID 124470000
Maine MEDICAID 124470300
Maine MEDICAID 124470500
Maine MEDICAID 124470001
Maine MEDICAID 124470401
Maine MEDICAID 124470402
Maine MEDICAID 124470400

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