COMMUNITY CARE (NPI# 1114070661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114070661 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE |
| Other Organization Name | CARE DEVELOPMENT OF MAINE |
| Practice Address |
40 Summer St Bangor ME 04401-6446 |
| Mailing Address |
Po Box 936 Bangor ME 04402-0936 |
| Practice Telephone | 2079454240 |
| Practice Fax Number | 2079903660 |
| Mailing Telephone | 2079454240 |
| Mailing Fax Number | 2079903660 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2013-12-04 |
| Authorized Official Name | MS. NELLIE A KENNEDY (FINANCE DIRECTOR) |
| Authorized Official Telephone | 2079454240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 220602 | ME | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 133900200 | 05 | |
| ME | 133900100 | 05 | |
| ME | 133900000 | 05 |
| Other Name | Type Code |
|---|---|
| Care Development of Maine | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417462391 | Community Care | Registered Nurse | 7220 N. Lindbergh Ste 310, Hazelwood, MO 63042 | 2017-12-13 |
| 1255775995 | Community Care | Home Health | 602 Morton St Nw, 21, Washington, DC 20010-2542 | 2013-04-24 |
| 1851664890 | Community Care | Community/Behavioral Health | 8101 Sandy Spring Rd Ste 250ijk, Laurel, MD 20707-3596 | 2012-02-22 |
| 1669654091 | Community Care | Health Maintenance Organization | 14644b Lakeshore Dr, Clearlake, CA 95422-9290 | 2007-11-27 |
| 1952518854 | Community Care | Respite Care | 23043 County Road 316, Oran, MO 63771-8215 | 2007-05-17 |
| 1790708832 | Community Care | Family Medicine | 765 S. Utah Ave, Idaho Falls, ID 83402 | 2006-07-26 |
| 1114388972 | Community Care | Case Management | 8101 Sandy Spring Rd Ste 250ijk, Laurel, MD 20707-3596 | 2016-03-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY CARE | 1311 N Dixie Hwy, Elizabethtown, KY 42701-2621 |
| System for Award Management (SAM) Entities | COMMUNITY CARE & REHABILITATION CENTER | 4070 Jurupa Ave, Riverside, CA 92506-2234 |
| Colorado Business Entities | Community Care Alliance, LLC | 715 Horizon Drive, Suite 485, Grand Junction, CO 81506 |
| System for Award Management (SAM) Entities | COMMUNITY CARE ALLIANCE, LLC. | 715 Horizon Drive, Suite 485, Grand Junction, CO 81506-8700 |
| Massachusetts Corporations | COMMUNITY CARE AND HOSPICE, INC. | 336 Central St., Lowell, MA 01853 |
| Virginia Business Entities | Community Care and Learning Center | 189 E Lee Hwy, New Market, Virginia 22844 |
| New York State Corporations | COMMUNITY CARE ASSISTANCE, INC. | Mclaughlin & Stern, LLP, 260 Madison Avenue, New York, Ny 10016 |
| Virginia Business Entities | Community Care Assisted Living of Virginia Inc. | 7804 Forest Hill Ave., Richmond, Virginia 23225 |
| System for Award Management (SAM) Entities | COMMUNITY CARE BEHAVIOR HEALTH | 525 E County Line Rd Ste 4, Lakewood, NJ 08701-1405 |
| System for Award Management (SAM) Entities | COMMUNITY CARE CENTER | 2335 S Mountain Ave, Duarte, CA 91010-3559 |
| Street Address |
40 SUMMER ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385591 | Lucy Funkhouser | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2020-08-05 |
| 1316594617 | Kalli Marie Mallory | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2019-08-21 |
| 1871148072 | Davina K Stiles | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2019-08-05 |
| 1881124337 | Sasha S. Perkins | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2017-06-18 |
| 1356881114 | Rudie Robinson | Counselor | 40 Summer St, Bangor, ME 04401-7144 | 2017-02-27 |
| 1508319278 | Kathryn Lowery | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2016-07-29 |
| 1053769505 | Cindy Jean Mathieson | Counselor | 40 Summer St, Bangor, ME 04401-7144 | 2016-05-25 |
| 1871957373 | Kelly Harmon | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2016-04-11 |
| 1528420411 | Christopher Young | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2016-03-22 |
| 1730540626 | Douglas Towle | Counselor | 40 Summer St, Bangor, ME 04401-7144 | 2016-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629530530 | Fraser Clinical Consultation Services, LLC | Community/Behavioral Health | 96 Harlow St Ste 214, Bangor, ME 04401-4981 | 2019-04-01 |
| 1134632870 | Penobscot Community Health Center | Community/Behavioral Health | 85 Hammond St, Bangor, ME 04401-4913 | 2017-11-15 |
| 1548512114 | Communty Care | Community/Behavioral Health | 40 Summer, Community Care, Bangor, ME 04401-3105 | 2012-10-08 |
| 1285906412 | Families United | Community/Behavioral Health | 304 Hancock St. Suite 2c, Bangor, ME 04401 | 2012-02-03 |
| 1841436128 | Bangor Health Center | Community/Behavioral Health | 803 West Arlington Street, Bangor, MI 49013-1108 | 2008-12-17 |
| 1215102850 | Cornerstone Behavioral Healthcare, LLC | Community/Behavioral Health | 157 Park Street, Suite 5, Bangor, ME 04401-5000 | 2008-04-24 |
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1770799306 | Metro Treatment of Maine Lp | Community/Behavioral Health | 659 Hogan Rd, Bangor, ME 04401-3626 | 2007-05-14 |
| 1437370277 | Care Development of Maine | Community/Behavioral Health | 51 4th St, Bangor, ME 04401-6140 | 2007-05-01 |
| 1851432041 | New Life Mission | Community/Behavioral Health | 202 Exchange St, Bangor, ME 04401-6508 | 2007-02-09 |
| Find all providers in BANGOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.