NPIViewer - Provider NPI 1063431070

NPI:	1063431070
Name:	JOHN F MURPHY HOMES, INC.
Entity type:	Organization
Organization Name:	JOHN F MURPHY HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:	ACCOUNTS RECEIVABLE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:	TAMMY
Authorized Official - Middle Name:	L
Authorized Official - Last Name:	BERGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:	207-782-2726
Mailing Address - Street 1:	800 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:	AUBURN
Mailing Address - State:	ME
Mailing Address - Zip Code:	04210-6404
Mailing Address - Country:	US
Mailing Address - Phone:	207-782-2726
Mailing Address - Fax:	207-333-3501
Practice Address - Street 1:	800 CENTER ST
Practice Address - Street 2:
Practice Address - City:	AUBURN
Practice Address - State:	ME
Practice Address - Zip Code:	04210-6404
Practice Address - Country:	US
Practice Address - Phone:	207-782-2726
Practice Address - Fax:	207-333-3501
EIN:	<UNAVAIL>
Is Organization Subpart?:	No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:	2006-07-19
Last Update Date:	2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:

Primary?	Code	Type	Classification	Specialization	Group
Yes	313M00000X	Nursing & Custodial Care Facilities	Nursing Facility/Intermediate Care Facility
No	224Z00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapy Assistant		Group - Multi-Specialty
No	225XM0800X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Mental Health	Group - Multi-Specialty
No	235Z00000X	Speech, Language and Hearing Service Providers	Speech-Language Pathologist		Group - Multi-Specialty
No	251C00000X	Agencies	Day Training, Developmentally Disabled Services
No	251S00000X	Agencies	Community/Behavioral Health
No	252Y00000X	Agencies	Early Intervention Provider Agency		Group - Multi-Specialty

State	Identifier ID	ID Type
ME	108920001	Medicaid
ME	108920300	Medicaid
ME	108920411	Medicaid
ME	108920420	Medicaid
ME	108920421	Medicaid
ME	108920005	Medicaid
ME	108920402	Medicaid
ME	108920408	Medicaid
ME	108920417	Medicaid
ME	108920004	Medicaid
ME	108920401	Medicaid
ME	108920409	Medicaid
ME	108920410	Medicaid
ME	108920500	Medicaid
ME	108920000	Medicaid
ME	108920201	Medicaid
ME	108920301	Medicaid
ME	108920405	Medicaid
ME	108920418	Medicaid
ME	108920406	Medicaid
ME	108920600	Medicaid
ME	108920002	Medicaid
ME	108920003	Medicaid
ME	108920404	Medicaid
ME	108920407	Medicaid
ME	108920412	Medicaid
ME	108920413	Medicaid
ME	108920006	Medicaid
ME	108920403	Medicaid
ME	108920414	Medicaid