THERAPEUTIC RESIDENTIAL SERVICES LLC
NPI 1437855004
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bangor, ME

Active since February 06, 2023
218 BOLLING DR, BANGOR, ME 04401(207) 740-0543 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Residential Treatment Facility, Intellec...

About THERAPEUTIC RESIDENTIAL SERVICES LLC

This page provides the complete NPI Profile along with additional information for Therapeutic Residential Services Llc, a provider established in Bangor, Maine operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1437855004 assigned on February 2023. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Sherlock Haylock (Administrator)

NPI
1437855004 Verify this NPI
Provider Name
THERAPEUTIC RESIDENTIAL SERVICES LLC
Entity Type
Organization
Location Address
218 BOLLING DR BANGOR, ME 04401
Location Phone
(207) 740-0543
Mailing Address
135 LAKE VIEW DR HARTFORD, ME 04220
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2023
Last Update Date
02-06-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHERLOCK HAYLOCK

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(207) 740-0543

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437855004, enumerated as an "organization" on February 06, 2023.

The provider is located at 218 BOLLING DR BANGOR, ME 04401 and the phone number is (207) 740-0543.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.