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:
Health care specialties
| Specialty | Code | License # | 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 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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