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DIRIGO RESIDENTIAL CARE LLC
NPI 1285438283
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Portland, ME

Active since April 01, 2025
1500 FOREST AVE APT 7D, PORTLAND, ME 04103(207) 409-2798 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dirigo Residential Care Llc NPPES

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

DIRIGO RESIDENTIAL CARE LLC (NPI 1285438283) 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 April 2025. The organization lists Dominique Mazambo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285438283
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameDIRIGO RESIDENTIAL CARE LLC
Location Address1500 FOREST AVE APT 7DPortland, ME 04103-1840
Mailing Address1500 Forest Ave Apt 7dPortland, ME 04103-1840 · (207) 409-2798
Phone(207) 409-2798
Organization SubpartNo
Authorized OfficialDominique MazamboCeo · (207) 409-2798
Enumeration DateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1285438283 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.
1500 FOREST AVE APT 7D, Portland, ME 04103
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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 Dirigo Residential Care LLC's NPI number?

The NPI number for Dirigo Residential Care LLC is 1285438283. It was assigned to this organization in the NPPES registry on April 1, 2025.

Where is Dirigo Residential Care LLC located?

Dirigo Residential Care LLC is located at 1500 Forest Ave Apt 7D, Portland, ME 04103. The listed phone number is (207) 409-2798.

What is Dirigo 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 Dirigo Residential Care LLC was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.