NANCY J. MITCHELL HOME TRUST – NPI #1891832382
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.

NANCY J. MITCHELL HOME TRUST is a residential treatment facility located in SURRY, ME. NPPES has assigned the NPI number 1891832382 to NANCY J. MITCHELL HOME TRUST on January 31, 2007. 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.

The NPI profile was previously updated about 18 years ago on Jul 22, 2008. 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 NANCY J. MITCHELL HOME TRUST below.

NPI Profile for
NANCY J. MITCHELL HOME TRUST

NPI Number
1891832382
Enumeration Date

(more than 19 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
NANCY J. MITCHELL HOME TRUST
Primary location
1 SANDY BEACH LANE
SURRY, ME 04468
Phone: (207) 827-6688 Fax:
Mailing address
PO BOX 1381
BANGOR, ME 04402-1381
Phone: Fax:
Organization Subpart
No
Authorized Official
CARL MITCHELL
TRUSTEE
Phone: (207) 827-6688
Updated
Identifiers

Identifiers for NANCY J. MITCHELL HOME TRUST

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
MEDICAIDME53161131A
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)
ME 126500000

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.