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WYATT RESIDENTIAL SERVICES LLC
NPI 1346134871
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Scarborough, ME

Active since June 09, 2025
78 FOXCROFT DR, SCARBOROUGH, ME 04074(207) 409-0334 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wyatt Residential Services Llc NPPES

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

WYATT RESIDENTIAL SERVICES LLC (NPI 1346134871) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Scarborough, Maine and active in the NPI registry since June 2025. The organization lists Axel Nimbona, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346134871
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameWYATT RESIDENTIAL SERVICES LLC
Location Address78 FOXCROFT DRScarborough, ME 04074-8734
Mailing Address78 Foxcroft DrScarborough, ME 04074-8734 · (207) 409-0334
Phone(207) 409-0334
Organization SubpartNo
Authorized OfficialAxel NimbonaCeo · (207) 409-0334
Enumeration DateJune 9, 2025
NPPES CertifiedJune 8, 2025
✔ NPI 1346134871 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.
78 FOXCROFT DR, Scarborough, ME 04074
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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 Wyatt Residential Services LLC's NPI number?

The NPI number for Wyatt Residential Services LLC is 1346134871. It was assigned to this organization in the NPPES registry on June 9, 2025.

Where is Wyatt Residential Services LLC located?

Wyatt Residential Services LLC is located at 78 Foxcroft Dr, Scarborough, ME 04074. The listed phone number is (207) 409-0334.

What is Wyatt Residential Services 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 Wyatt Residential Services LLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.