Port Resources
NPI 1053467779 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · South Portland, ME
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Port Resources is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in South Portland, ME (NPI 1053467779).
Provider details
- NPI number
- 1053467779
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Robin Defreest, Director of Finance(207) 828-0048
- License
- 388111 (ME)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 388111 (ME)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2014-07-16
Frequently asked questions
- What is Port Resources's NPI number?
- Port Resources's National Provider Identifier (NPI) is 1053467779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Resources?
- Port Resources is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Port Resources located?
- Port Resources's practice location on file with NPPES is 280b Gannett Dr, South Portland, ME 04106-6940.
- What is Port Resources's phone number?
- The practice phone number listed in the NPPES registry for Port Resources is (207) 828-0048.
- Does Port Resources accept Medicare?
- Port Resources is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Port Resources?
- The authorized official listed on Port Resources's NPPES record is Robin Defreest, Director of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Resources's NPI active?
- Yes — Port Resources's NPI (1053467779) is active in the NPPES registry as of the last update on 2014-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.