Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Moonlight Group Homes LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1558987438

Moonlight Group Homes LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lewiston, Maine. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

253 Lisbon St
Lewiston, ME 04240-7704
Phone: (207) 344-4165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1558987438
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khasin Saban — Ceo · (207) 241-7299
Other names Moonlight Group Homes Llc
NPI enumeratedJune 17, 2020
Last updated in NPPESJune 17, 2020
Certification dateJune 17, 2020
Mailing address253 Lisbon Street, Lewiston, ME 04240-7704

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