Liberty Bay Recovery Center, LLC
NPI 1104212182 · Substance Use Disorder Rehabilitation Clinic/Center · Portland, ME
Liberty Bay Recovery Center, LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Portland, ME (NPI 1104212182).
Provider details
- NPI number
- 1104212182
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Jarvie, Vp, Treasurer(214) 379-3300
Specialties & taxonomies
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- 2015-04-07
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Frequently asked questions
- What is Liberty Bay Recovery Center, LLC's NPI number?
- Liberty Bay Recovery Center, LLC's National Provider Identifier (NPI) is 1104212182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Bay Recovery Center, LLC?
- Liberty Bay Recovery Center, LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Liberty Bay Recovery Center, LLC located?
- Liberty Bay Recovery Center, LLC's practice location on file with NPPES is 343 Forest Ave, Portland, ME 04101-2006.
- What is Liberty Bay Recovery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Liberty Bay Recovery Center, LLC is (207) 772-9800.
- Who is the authorized official for Liberty Bay Recovery Center, LLC?
- The authorized official listed on Liberty Bay Recovery Center, LLC's NPPES record is Bruce Jarvie, Vp, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Bay Recovery Center, LLC's NPI active?
- Yes — Liberty Bay Recovery Center, LLC's NPI (1104212182) is active in the NPPES registry as of the last update on 2024-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.