PROVIDENCE SERVICE CORPORATION
NPI 1710222534
Community/Behavioral Health in Bath, ME

Active since December 05, 2012
2 DAVENPORT CIR, SUITE 4; ACHIEVE PROGRAM, BATH, ME 04530(207) 443-6200 Get Directions Write a Review

NPPES record last updated: December 5, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Service Corporation NPPES

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

PROVIDENCE SERVICE CORPORATION (NPI 1710222534) is a healthcare organization registered as a community/behavioral health in Bath, Maine and active in the NPI registry since December 2012. The organization lists Nicole Zenga, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1710222534
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROVIDENCE SERVICE CORPORATION
Location Address2 DAVENPORT CIR, SUITE 4; ACHIEVE PROGRAMBath, ME 04530-2880
Mailing AddressPo Box 758866Baltimore, MD 21275-8866 · (207) 373-0620
Organization SubpartNo
Authorized OfficialNicole ZengaDirector Of Operations · (207) 373-0620
Enumeration DateDecember 5, 2012
NPI 1710222534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in ME · 392123
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
2 DAVENPORT CIR, Bath, ME 04530

Other Identifiers 1

Medicaid191700000ME

Other Providers at the Same Location NPPES 2

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

Case Management
2 DAVENPORT CIR
BATH, ME 04530
Psychologist (School)
2 DAVENPORT CIR, SUITE 20
BATH, ME 04530

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 Providence Service Corporation's NPI number?

The NPI number for Providence Service Corporation is 1710222534. It was assigned to this organization in the NPPES registry on December 5, 2012.

Where is Providence Service Corporation located?

Providence Service Corporation is located at 2 Davenport Cir Suite 4; Achieve Program, Bath, ME 04530. The listed phone number is (207) 443-6200.

What is Providence Service Corporation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Providence Service Corporation was last updated on December 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.