PORT RESOURCES
NPI 1053467779
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in South Portland, ME
About Port Resources NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PORT RESOURCES (NPI 1053467779) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in South Portland, Maine and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Robin Defreest, Director Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Port Resources is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Port Resources, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 20D2207557
Port Resources · South Portland, MEFrequently 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 Port Resources's NPI number?
The NPI number for Port Resources is 1053467779. It was assigned to this organization in the NPPES registry on January 26, 2007.
Where is Port Resources located?
Port Resources is located at 280B Gannett Dr, South Portland, ME 04106. The listed phone number is (207) 828-0048.
What is Port Resources's specialty?
The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
Is Port Resources enrolled in Medicare?
Yes. Port Resources is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Port Resources?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Port Resources. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (3), Mental Health Counselor (2) and Psychiatry (2). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Port Resources hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 20D2207557) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Port Resources accept?
Health plans from Anthem Blue Cross and Blue Shield list Port Resources as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Port Resources was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Port Resources · NPI 1053467779
Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in South Portland, Maine. Organization record, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1053467779 (Entity type: Organization)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320600000X
- **Organization subpart:** No
- **Authorized official:** Robin Defreest, DIRECTOR OF FINANCE
## Practice location
- **Address:** 280B GANNETT DR, South Portland, ME 04106-6940
- **Phone:** (207) 828-0048 · **Fax:** (207) 772-3743
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (3), Mental Health Counselor (2), Psychiatry (2); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2014
- **Other identifiers:** Medicaid 110580000 (ME)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053467779) · Data from the CMS NPPES public registry.