Provider Demographics
NPI:1346464781
Name:LIFE ENRICHMENT ADVANCING PEOPLE, INC.
Entity Type:Organization
Organization Name:LIFE ENRICHMENT ADVANCING PEOPLE, INC.
Other - Org Name:WESTERN MAINE ASSOCIATION FOR RETARDED CITIZENS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:FINANCIAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-860-4125
Mailing Address - Street 1:128 WELD RD STE 1
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:ME
Mailing Address - Zip Code:04294-4401
Mailing Address - Country:US
Mailing Address - Phone:207-778-3443
Mailing Address - Fax:207-778-6070
Practice Address - Street 1:128 WELD RD STE 1
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:ME
Practice Address - Zip Code:04294-4401
Practice Address - Country:US
Practice Address - Phone:207-778-3443
Practice Address - Fax:207-778-6070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251B00000X
320600000X, 320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No251B00000XAgenciesCase Management
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME164270002Medicaid
ME164270005Medicaid
ME164270003Medicaid
ME164270004Medicaid
ME164270007Medicaid
ME164270000Medicaid
ME164207001Medicaid
ME164270006Medicaid
ME164270011Medicaid