IAM-3RIVERS
NPI 1023172145
Intermediate Care Facility, Intellectual Disabilities in Orono, ME

NPI Status: Active since December 21, 2006

Contact Information

2 HILLSIDE RD
ORONO, ME
ZIP 04473
Phone: (207) 866-3769
Fax: (207) 866-3769

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  • Organization
  • Intermediate Care Facility, Intellectual...
  • CLIA Number: 20D2234933
  • CLIA Cert. Type: Other - RESIDENTIAL CARE FACILITY
  • CLIA Exp. Date: 10-12-2025

About IAM-3RIVERS

This page provides the complete NPI Profile along with additional information for Iam-3rivers, a provider established in Orono, Maine operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1023172145 assigned on December 2006. The practitioner's primary taxonomy code is 315P00000X with license number 36469 (ME). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ms. Ann-marie Mayberry (Ceo)

NPI
1023172145
Provider Name
IAM-3RIVERS
Entity Type
Organization
Location Address
2 HILLSIDE RD ORONO, ME 04473
Location Phone
(207) 866-3769
Location Fax
(207) 866-3769
Mailing Address
PO BOX 1280 WESTBROOK, ME 04098
Mailing Phone
(207) 523-5170
Mailing Fax
(207) 866-3769
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-21-2006
Last Update Date
08-15-2025
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
36469
License State
ME
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1320900000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 

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

MS. ANN-MARIE MAYBERRY

Authorized Official Title
CEO
Authorized Official Phone
(207) 831-1463

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
20D2234933
Facility Type
Other - RESIDENTIAL CARE FACILITY
Certificate Effective Date
October 13, 2023
Certificate Expiration Date
October 12, 2025
Laboratory Director
DIANNE BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Iam-3rivers to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023172145, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 2 + 7 + 4 + 1 + 8 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1023172145.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023172145, enumerated as an "organization" on December 21, 2006.

The provider is located at 2 HILLSIDE RD ORONO, ME 04473 and the phone number is (207) 866-3769.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.