OrganizationActive
Northern Maine General
NPI 1174734586 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Eagle Lake, ME
Provider details
- NPI number
- 1174734586
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Reynold Raymond, Chief Executive Officer(207) 444-5152
- License
- ALLS 2221 (ME)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense ALLS 2221 (ME)
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
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
36 Makayla Dr
Eagle Lake, ME 04739-0310
Phone: (207) 444-5152
Fax: (207) 444-6099
Street-level locationGet directions
Mailing address
Po Box 310
Eagle Lake, ME 04739-0310
Other names (DBA / former)
- Doing business as
- Marcoux Waiver Home
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.