Organization
OHI
Active
Parent organization
OHI
Other names
Home Based Waiver
Organization subpart
Yes
Provider details
NPI number
Legal business name
OHI
Authorized official
JOHN MCNAMARA (PRESIDENT & C.E.O.)
(207) 974-6781
Entity
Organization
Contact information
Practice address
203 MAINE AVE, BANGOR, ME 04401-4331
(207) 848-5804
(207) 989-4050
Mailing address
203 MAINE AVE, BANGOR, ME 04401-4331
(207) 848-5804
(207) 989-4050
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109800200
—
ME
05
—
109800201
—
ME
05
—
109800204
—
ME
05
—
109800205
—
ME
05
—
109800206
—
ME
05
—
109800207
—
ME
05
—
109800208
—
ME
05
—
109800209
—
ME
05
—
109800213
—
ME
05
—
109800214
—
ME
05
—
109800215
—
ME
05
—
109800216
—
ME
05
—
109800217
—
ME
05
—
109800219
—
ME
05
—
109800220
—
ME
Enumeration date
11/17/2006
Last updated
03/18/2026
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