MAMIE POWELL WAIVER HOME
NPI 1669683066
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Eagle Lake, ME

Active since May 25, 2007
38 CARTER ST, EAGLE LAKE, ME 04739(207) 444-5152(207) 444-6099 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mamie Powell Waiver Home NPPES

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

MAMIE POWELL WAIVER HOME (NPI 1669683066) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Eagle Lake, Maine and active in the NPI registry since May 2007. The organization lists Reynold Raymond, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1669683066
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameNORTHERN MAINE GENERAL
Location Address38 CARTER STEagle Lake, ME 04739-0310
Mailing AddressPo Box 310Eagle Lake, ME 04739-0310 · (207) 444-5152 · Fax (207) 444-6099
Fax(207) 444-6099
Organization SubpartNo
Authorized OfficialReynold RaymondChief Executive Officer · (207) 444-5152
Enumeration DateMay 25, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1669683066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in ME · ALLS 2223
Definition

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.

38 CARTER ST, Eagle Lake, ME 04739

Other Names 1

Doing Business AsMamie Powell Waiver Home

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
38 CARTER ST
EAGLE LAKE, ME 04739

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 Northern Maine General's NPI number?

The NPI number for Northern Maine General is 1669683066. It was assigned to this organization in the NPPES registry on May 25, 2007. The provider is doing business as Mamie Powell Waiver Home.

Where is Northern Maine General located?

Northern Maine General is located at 38 Carter St, Eagle Lake, ME 04739. The listed phone number is (207) 444-5152.

What is Northern Maine General's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Northern Maine General was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.