SEVENTY FIVE STATE STREET
NPI 1528201738
Assisted Living Facility in Portland, ME
About Seventy Five State Street NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEVENTY FIVE STATE STREET (NPI 1528201738) is a healthcare organization registered as an assisted living facility in Portland, Maine and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Anthony Forgione, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 20D0906087
75 State Street · Portland, MEOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, ME 04101
PORTLAND, ME 04101
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528201738, enumerated as an "organization" on April 17, 2009.
The provider is located at 75 STATE ST PORTLAND, ME 04101 and the phone number is (207) 772-2675.
Assisted Living Facility with taxonomy code 310400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
