Seventy Five State Street

LBN: Seventy Five State Street
Seventy Five State Street is an health care organization with primary practice located at 75 State St , Portland ME 04101-3746. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Seventy Five State Street can be contacted via phone (207) 772-2675, or through Forgione, Anthony via phone (207) 772-2675.

Contact Information

Primary practice address
75 State St Portland ME 04101-3746
Phone: (207) 772-2675
Fax: (207) 772-2896
Website:
Map and Directions
Authorized official contact:
Name: Forgione, Anthony
Phone: (207) 772-2675

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X ALLS2085 Maine

Profile Details

NPI number 1528201738
LBN Legal business name Seventy Five State Street
DBA Doing business as
Authorized official Forgione, Anthony
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2009
Last updated Oct 1st, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528201738 NPPES
Maine MEDICAID 101970000

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