1. Home
  2. Directory
  3. Maine
  4. South Portland
  5. Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

PORT RESOURCES
NPI 1053467779
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in South Portland, ME

Active since January 26, 2007CLIA 20D2207557 · Waiver
280B GANNETT DR, SOUTH PORTLAND, ME 04106(207) 828-0048(207) 772-3743 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1053467779
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NamePORT RESOURCES
Location Address280B GANNETT DRSouth Portland, ME 04106-6940
Mailing Address280b Gannett DrSouth Portland, ME 04106-6940 · (207) 828-0048 · Fax (207) 772-3743
Phone(207) 828-0048
Fax(207) 772-3743
Organization SubpartNo
Authorized OfficialRobin DefreestDirector Of Finance · (207) 828-0048
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 16, 2014
✔ NPI 1053467779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in ME · 388111
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
280B GANNETT DR, South Portland, ME 04106
Open in Google Maps ↗

Other Identifiers 1

Medicaid110580000ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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, ME
Active · expires Dec 28, 2026
CLIA Number20D2207557
Laboratory TypeMobile Laboratory
Certificate Effective DateDecember 29, 2024
Certificate Expiration DateDecember 28, 2026
Laboratory DirectorTina L. Doucette
Laboratory Phone(207) 828-0048
Laboratory LocationPort Resources280B Gannett Drive, South Portland, ME 04106
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MR. MICHAEL PEPIN LMSW-CC
Counselor (Mental Health)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-0048
JAMIE ROSE LCPC-C, NCC
Counselor (Mental Health)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-0048
ELIZABETH DUNN
Social Worker (Clinical)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 772-7185
MS. FRANCES NOLAND RYAN LCSW
Social Worker (Clinical)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-0048
JAMIE L JANDREAU LCSW
Social Worker (Clinical)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-0048
DR. JERROLD C. EDELBERG PH.D.
Psychologist (Clinical)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-0048
NICOLE LABONTE
Social Worker (Clinical)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-0048
ROBIN SHERMAN
Social Worker (Clinical)
280B GANNETT DR
SOUTH PORTLAND, ME 04106
Cumberland County (207) 828-0048

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 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.

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.