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FIDELITY RESIDENTIAL CARE LLC
NPI 1144935644
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Portland, ME

Active since January 18, 2023
56 SHERMAN ST APT 5, PORTLAND, ME 04101(312) 402-1521 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Fidelity Residential Care Llc NPPES

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

FIDELITY RESIDENTIAL CARE LLC (NPI 1144935644) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Portland, Maine and active in the NPI registry since January 2023. The organization lists Jean Claude Munyaneza, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1144935644
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameFIDELITY RESIDENTIAL CARE LLC
Location Address56 SHERMAN ST APT 5Portland, ME 04101-2203
Mailing Address56 Sherman St Apt 5Portland, ME 04101-2203 · (312) 402-1521
Phone(312) 402-1521
Organization SubpartNo
Authorized OfficialJean Claude MunyanezaManaging Director · (312) 402-1521
Enumeration DateJanuary 18, 2023
NPPES CertifiedJanuary 18, 2023
✔ NPI 1144935644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
56 SHERMAN ST APT 5, Portland, ME 04101
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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 Fidelity Residential Care LLC's NPI number?

The NPI number for Fidelity Residential Care LLC is 1144935644. It was assigned to this organization in the NPPES registry on January 18, 2023.

Where is Fidelity Residential Care LLC located?

Fidelity Residential Care LLC is located at 56 Sherman St Apt 5, Portland, ME 04101. The listed phone number is (312) 402-1521.

What is Fidelity Residential Care LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Fidelity Residential Care LLC was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.