NICHOLE LAVALLEY
NPI 1821138017
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jackson, ME

Q: What is Nichole Lavalley's NPI number?

The NPI number for Nichole Lavalley is 1821138017. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Q: What is Nichole Lavalley's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Nichole Lavalley was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 07, 2007

1461 MOOSEHEAD TRL, JACKSON, ME 04921(207) 907-2631 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nichole Lavalley NPPES

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

NICHOLE LAVALLEY (NPI 1821138017) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Jackson, Maine, licensed in Maine (ALLS 2297) and active in the NPI registry since February 2007. She maintains a secondary practice location in Plymouth.

NPPES Registry Identity

NPI1821138017

Entity TypeIndividualFemale

Primary Taxonomy320900000X

Provider Legal NameNICHOLE LAVALLEY

Location Address1461 MOOSEHEAD TRLJackson, ME 04921

Mailing Address119 Lower Detroit RdPlymouth, ME 04969-3213

Phone(207) 907-2631

Sole ProprietorYes

Enumeration DateFebruary 7, 2007

Last NPPES UpdateOctober 30, 2019

✔ NPI 1821138017 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

License✔ Licensed in ME · ALLS 2297

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1461 MOOSEHEAD TRL, Jackson, ME 04921

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Secondary Practice Location 1

Location 1119 Lower Detroit RdPlymouth, ME 04969-3213 · Phone (207) 257-2131

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 Nichole Lavalley's NPI number?

The NPI number for Nichole Lavalley is 1821138017. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Nichole Lavalley located?

Nichole Lavalley practices at 1461 Moosehead Trl, Jackson, ME 04921. The listed phone number is (207) 907-2631.

What is Nichole Lavalley'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 Nichole Lavalley was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.