INDEPENDENCE ASSOCIATION, INC
NPI 1023169976
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Brunswick, ME

Active since January 16, 2007CLIA 20D2199089 · Waiver
87 BARIBEAU DR, BRUNSWICK, ME 04011(207) 725-4371(207) 725-1416 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Independence Association, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENCE ASSOCIATION, INC (NPI 1023169976) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Brunswick, Maine and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists James Pierce, Ceo Executive Director, as its authorized official.

NPPES Registry Identity

NPI1023169976
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameINDEPENDENCE ASSOCIATION, INC
Location Address87 BARIBEAU DRBrunswick, ME 04011-3229
Mailing Address87 Baribeau DrBrunswick, ME 04011-3229 · (207) 725-4371 · Fax (207) 725-1416
Fax(207) 725-1416
Organization SubpartNo
Authorized OfficialJames PierceCeo Executive Director · (207) 725-4371
Enumeration DateJanuary 16, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1023169976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
87 BARIBEAU DR, Brunswick, ME 04011

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2199089

Independence Association · Brunswick, ME
Active · expires Nov 4, 2026
CLIA Number20D2199089
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorRaymond A. Nagel
Laboratory Phone(207) 504-5817
Laboratory LocationIndependence Association3 Industrial Parkway, Brunswick, ME 04011
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Day Training, Developmentally Disabled Services
87 BARIBEAU DR
BRUNSWICK, ME 04011
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
87 BARIBEAU DR
BRUNSWICK, ME 04011
Community/Behavioral Health
87 BARIBEAU DR
BRUNSWICK, ME 04011
Case Management
87 BARIBEAU DR
BRUNSWICK, ME 04011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Independence Association, Inc's NPI number?

The NPI number for Independence Association, Inc is 1023169976. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Independence Association, Inc located?

Independence Association, Inc is located at 87 Baribeau Dr, Brunswick, ME 04011. The listed phone number is (207) 725-4371.

What is Independence Association, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Independence Association, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2199089) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Independence Association, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.