OrganizationActive
Cononiah Residential Care LLC
NPI 1720820079 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · South Portland, ME
Provider details
- NPI number
- 1720820079
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Narciso Sambo, Ceo(207) 450-2063
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
3 Townhouse Dr
South Portland, ME 04106-1948
Phone: (207) 450-2063
Street-level locationGet directions
Mailing address
3 Townhouse Dr
South Portland, ME 04106-1948
Other names (DBA / former)
- Doing business as
- Cononiah Residential Care LLC
Registry dates
- Enumerated
- 2024-06-08
- Last updated
- 2024-06-08
- Certified
- 2024-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.