Fidelis Residential Care LLC
NPI 1396458790 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gorham, ME
Fidelis Residential Care LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Gorham, ME (NPI 1396458790).
Provider details
- NPI number
- 1396458790
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Bisengimana Gakunzi, Director of Finance(207) 213-9053
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2022-12-30
- Last updated
- 2022-12-30
- Certified
- 2022-12-24
Frequently asked questions
- What is Fidelis Residential Care LLC's NPI number?
- Fidelis Residential Care LLC's National Provider Identifier (NPI) is 1396458790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fidelis Residential Care LLC?
- Fidelis Residential Care LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Fidelis Residential Care LLC located?
- Fidelis Residential Care LLC's practice location on file with NPPES is 54 Running Springs Rd, Gorham, ME 04038-1633.
- What is Fidelis Residential Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Fidelis Residential Care LLC is (207) 213-9053.
- Who is the authorized official for Fidelis Residential Care LLC?
- The authorized official listed on Fidelis Residential Care LLC's NPPES record is Bisengimana Gakunzi, Director of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fidelis Residential Care LLC's NPI active?
- Yes — Fidelis Residential Care LLC's NPI (1396458790) is active in the NPPES registry as of the last update on 2022-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.