ATLANTIC COMMUNITY SUPPORT LLC – NPI #1437792199
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

ATLANTIC COMMUNITY SUPPORT LLC is a residential treatment facility located in PORTLAND, ME. NPPES has assigned the NPI number 1437792199 to ATLANTIC COMMUNITY SUPPORT LLC on October 24, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATLANTIC COMMUNITY SUPPORT LLC below.

NPI Profile for
ATLANTIC COMMUNITY SUPPORT LLC

NPI Number
1437792199
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATLANTIC COMMUNITY SUPPORT LLC
Primary location
75 BISHOP ST STE 13
PORTLAND, ME 04103-2614
Phone: (207) 405-7181 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KAMIL SUJA
CEO
Phone: (207) 405-7181
Updated
Identifiers

Identifiers for ATLANTIC COMMUNITY SUPPORT LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDME84-3458034
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.