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FIDELIS RESIDENTIAL CARE LLC
NPI 1396458790
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Gorham, ME

Active since December 30, 2022
54 RUNNING SPRINGS RD, GORHAM, ME 04038(207) 213-9053 Get Directions Write a Review

NPPES record last updated: December 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fidelis Residential Care Llc NPPES

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

FIDELIS RESIDENTIAL CARE LLC (NPI 1396458790) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Gorham, Maine and active in the NPI registry since December 2022. The organization lists Bisengimana Gakunzi, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1396458790
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameFIDELIS RESIDENTIAL CARE LLC
Location Address54 RUNNING SPRINGS RDGorham, ME 04038-1633
Mailing Address54 Running Springs RdGorham, ME 04038-1633
Phone(207) 213-9053
Organization SubpartNo
Authorized OfficialBisengimana GakunziDirector Of Finance · (207) 213-9053
Enumeration DateDecember 30, 2022
NPPES CertifiedDecember 24, 2022
✔ NPI 1396458790 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.
54 RUNNING SPRINGS RD, Gorham, ME 04038
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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 Fidelis Residential Care LLC's NPI number?

The NPI number for Fidelis Residential Care LLC is 1396458790. It was assigned to this organization in the NPPES registry on December 30, 2022.

Where is Fidelis Residential Care LLC located?

Fidelis Residential Care LLC is located at 54 Running Springs Rd, Gorham, ME 04038. The listed phone number is (207) 213-9053.

What is Fidelis 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 Fidelis Residential Care LLC was last updated on December 30, 2022. 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.