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Dirigo Residential Care LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Portland, ME · enumerated 2025 · authorized official Dominique Mazambo, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285438283

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Registry record

Entity type Organization (Type 2)
Legal business name Dirigo Residential Care LLC
Practice address 1500 Forest Ave Apt 7d, Portland, ME, 04103
Enumeration date Apr 1, 2025
Last updated in NPPES Apr 1, 2025

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Dominique Mazambo
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Dirigo Residential Care LLC?
Dirigo Residential Care LLC is registered in NPPES as a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-01.