NICHOLE LAVALLEY – NPI #1821138017
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
NICHOLE LAVALLEY is a community based residential treatment facility located in JACKSON, ME. NPPES has assigned the NPI number 1821138017 to NICHOLE LAVALLEY on February 07, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
The NPI profile was previously updated about 7 years ago on Oct 30, 2019. 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 NICHOLE LAVALLEY below.
NPI Profile for
NICHOLE LAVALLEY
(more than 19 years ago)
JACKSON, ME 04921 Phone: (207) 907-2631 Fax:
1 Other location(s):
Plymouth, ME 04969-3213
Phone: (207) 257-2131
PLYMOUTH, ME 04969-3213 Phone: Fax:
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 |
|---|---|---|
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
ME | ALLS 2297 |
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.