Provider Demographics
NPI:1063473866
Name:UPLIFT, INC
Entity type:Organization
Organization Name:UPLIFT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MANSIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-582-8021
Mailing Address - Street 1:25 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:GARDINER
Mailing Address - State:ME
Mailing Address - Zip Code:04345-1905
Mailing Address - Country:US
Mailing Address - Phone:207-582-8021
Mailing Address - Fax:207-582-2457
Practice Address - Street 1:25 WINTER ST
Practice Address - Street 2:
Practice Address - City:GARDINER
Practice Address - State:ME
Practice Address - Zip Code:04345-1905
Practice Address - Country:US
Practice Address - Phone:207-582-8021
Practice Address - Fax:207-582-2457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME102960106Medicaid
ME102960101Medicaid
ME102960103Medicaid
ME102960107Medicaid
ME102960201Medicaid
ME102960100Medicaid
ME102960104Medicaid
ME102960108Medicaid
ME102960105Medicaid
ME102960000Medicaid
ME102960102Medicaid
ME102960109Medicaid
ME102960300Medicaid