BROOKS WAIVER HOME – NPI #1992916373
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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

BROOKS WAIVER HOME is a residential treatment facility located in EAGLE LAKE, ME. NPPES has assigned the NPI number 1992916373 to BROOKS WAIVER HOME on May 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BROOKS WAIVER HOME” is a dba name, the actual legal business name for this organization is NORTHERN MAINE GENERAL. 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 6 years ago on Aug 22, 2020. 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 BROOKS WAIVER HOME below.

NPI Profile for
NORTHERN MAINE GENERAL

NPI Number
1992916373
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
NORTHERN MAINE GENERAL
Doing Business As (dba): BROOKS WAIVER HOME
Primary location
3358 AROOSTOOK RD
EAGLE LAKE, ME 04739-0310
Phone: (207) 444-5152 Fax: (207) 444-6099
Mailing address
PO BOX 310
EAGLE LAKE, ME 04739-0310
Phone: (207) 444-5152 Fax: (207) 444-6099
Organization Subpart
No
Authorized Official
REYNOLD RAYMOND
CHIEF EXECUTIVE OFFICER
Phone: (207) 444-5152
Updated
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 ALLS 2224

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.