GOOD WILL-HINCKLEY – NPI #1770703597
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

GOOD WILL-HINCKLEY is a residential treatment facility located in HINCKLEY, ME. NPPES has assigned the NPI number 1770703597 to GOOD WILL-HINCKLEY on April 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GOOD WILL-HINCKLEY” is a dba name, the actual legal business name for this organization is GOOD WILL HOME ASSOCIATION. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 17 years ago on Mar 26, 2009. 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 GOOD WILL-HINCKLEY below.

NPI Profile for
GOOD WILL HOME ASSOCIATION

NPI Number
1770703597
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
GOOD WILL HOME ASSOCIATION
Doing Business As (dba): GOOD WILL-HINCKLEY
Primary location
WATERVILLE RD
PRESCOTT ADMINISTRATION BLDG.
HINCKLEY, ME 04944-0159
Phone: (207) 238-4000 Fax: (207) 238-4017
Mailing address
PO BOX 159
HINCKLEY, ME 04944-0159
Phone: (207) 238-4000 Fax: (207) 238-4017
Organization Subpart
No
Authorized Official
NEIL COLAN
CHIEF EXECUTIVE OFFICER
Phone: (207) 238-4000
Updated
Identifiers

Identifiers for GOOD WILL-HINCKLEY

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.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDME101810003
MEDICAIDME101810009
MEDICAIDME101810103
MEDICAIDME101810000
MEDICAIDME101810001
MEDICAIDME101810006
MEDICAIDME101810002
MEDICAIDME101810007
MEDICAIDME431543400
MEDICAIDME101810004
MEDICAIDME101810005
MEDICAIDME101810008
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
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
ME PS885

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.