Northern Maine General
NPI 1912108168 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Eagle Lake, ME
Northern Maine General is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Eagle Lake, ME (NPI 1912108168).
Provider details
- NPI number
- 1912108168
- 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 2226 (ME)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense ALLS 2226 (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
Other names (DBA / former)
- Doing business as
- Kennedy Waiver Home
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2020-08-22
Frequently asked questions
- What is Northern Maine General's NPI number?
- Northern Maine General's National Provider Identifier (NPI) is 1912108168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern Maine General?
- Northern Maine General is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Northern Maine General located?
- Northern Maine General's practice location on file with NPPES is 31 Devoe Brook Rd, Eagle Lake, ME 04739-0310.
- What is Northern Maine General's phone number?
- The practice phone number listed in the NPPES registry for Northern Maine General is (207) 444-5152.
- Who is the authorized official for Northern Maine General?
- The authorized official listed on Northern Maine General's NPPES record is Reynold Raymond, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern Maine General's NPI active?
- Yes — Northern Maine General's NPI (1912108168) is active in the NPPES registry as of the last update on 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.