SEVENTY SIX BRADLEY STREET
NPI 1922234053
Assisted Living Facility - Assisted Living, Mental Illness in Lewiston, ME

NPI Status: Active since June 03, 2009

Contact Information

76 BRADLEY STREET
LEWISTON, ME
ZIP 04240
Phone: (207) 784-6995
Fax: (207) 784-2398

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness

About SEVENTY SIX BRADLEY STREET

This page provides the complete NPI Profile along with additional information for Seventy Six Bradley Street, a provider established in Lewiston, Maine operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1922234053 assigned on June 2009. The practitioner's primary taxonomy code is 3104A0625X with license number ALLS 2761 (ME). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Seventy Six Bradley Street. The authorized official of this NPI record is Mr. Harold Strout (Administrator)

NPI
1922234053
Provider Legal Name
RAFTS INC
Other Organization Name
SEVENTY SIX BRADLEY STREET
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
76 BRADLEY STREET LEWISTON, ME 04240
Location Phone
(207) 784-6995
Location Fax
(207) 784-2398
Mailing Address
47 WOOD ST LEWISTON, ME 04240
Mailing Phone
(207) 784-6995
Mailing Fax
(207) 784-2398
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-03-2009
Last Update Date
10-21-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
Type
Nursing & Custodial Care Facilities
License No.
ALLS 2761
License State
ME
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. HAROLD STROUT

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(207) 784-6995

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
164460001MEDICAID (05)ME 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922234053
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942438010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 4 + 3 + 8 + 0 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1922234053 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922234053, enumerated in the NPI registry as an "organization" on June 03, 2009

The provider is located at 76 Bradley Street Lewiston, Me 04240 and the phone number is (207) 784-6995

This medical organization specializes in Assisted Living Facility with taxonomy code 3104A0625X with a focus in Assisted Living, Mental Illness

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 03, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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