Provider Demographics
NPI:1508565383
Name:WARM RESIDENTIAL SERVICES LLC
Entity Type:Organization
Organization Name:WARM RESIDENTIAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:NZOGERA
Authorized Official - Last Name:KINDINGILI
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:207-303-2691
Mailing Address - Street 1:28 RHODE ISLAND ST APT 2
Mailing Address - Street 2:
Mailing Address - City:OLD TOWN
Mailing Address - State:ME
Mailing Address - Zip Code:04468-6045
Mailing Address - Country:US
Mailing Address - Phone:207-303-2691
Mailing Address - Fax:
Practice Address - Street 1:28 RHODE ISLAND ST APT 2
Practice Address - Street 2:
Practice Address - City:OLD TOWN
Practice Address - State:ME
Practice Address - Zip Code:04468-6045
Practice Address - Country:US
Practice Address - Phone:207-303-2691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities