KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC (NPI# 1225152309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225152309 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC |
| Practice Address |
16 Kidspeace Way Graham Lake Campus Ellsworth ME 04605 |
| Mailing Address |
4085 Independence Drive Schenecksville PA 18078 |
| Practice Telephone | 2076670909 |
| Practice Fax Number | 2076676348 |
| Mailing Telephone | 8008543123 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL W SLACK (VP FOR MARKETING AND BUSINESS DEVEL) |
| Authorized Official Telephone | 8008543123 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
208541 | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 61655 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629197926 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 411 Alfred Road, Park One Eleven, Biddeford, ME 04005 | 2007-03-28 |
| 1346373735 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 49 Florida Ave, Bangor, ME 04401-3005 | 2007-03-14 |
| 1477686715 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 747 Western Ave, Suite 3, Manchester, ME 04351-3528 | 2007-03-14 |
| 1376676767 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 324 Gannett Drive, Suite 300, South Portland, ME 04106 | 2007-03-14 |
| 1699808097 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 444 Stillwater Ave Ste 204, Bangor, ME 04401-3500 | 2007-03-14 |
| 1851424253 | Kidspeace National Centers of New England Inc | Case Management | 411 Alfred Road Park One Eleven, Biddeford, ME 04005 | 2007-03-14 |
| 1700958022 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2006-11-14 |
| 1396927919 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-12-05 |
| 1942482567 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-12-05 |
| 1477755197 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 411 Alfred Road Park One Eleven, Biddeford, ME 04005 | 2007-06-04 |
| Street Address |
16 KIDSPEACE WAY GRAHAM LAKE CAMPUS |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700958022 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2006-11-14 |
| 1396927919 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-12-05 |
| 1942482567 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-12-05 |
| 1619185113 | Kidspeace National Centers of New England Inc | Clinic/Center | 16 Kidspeace Way, Ellsworth, ME 04605 | 2007-05-18 |
| 1346454758 | Amy M Burrell | Social Worker | 16 Kidspeace Way, Ellsworth, ME 04605-0787 | 2007-05-09 |
| 1336353747 | Donald Lawrence Bigwood | Psychiatry & Neurology | 16 Kidspeace Way, Ellsworth, ME 04605-0787 | 2007-05-09 |
| 1245444652 | Paula Ann Kirkpatrick | Social Worker | 16 Kidspeace Way, Ellsworth, ME 04605-0787 | 2007-05-09 |
| 1801910971 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-03-16 |
| 1194849273 | Kidspeace National Centers of New England Inc | Residential Treatment Facility, Emotionally Disturbed Children | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-03-16 |
| 1093839185 | Kidspeace National Centers of New England Inc | Psychiatric Residential Treatment Facility | 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922234053 | Relatives and Friends for Support, Inc. | Assisted Living Facility | 76 Bradley Street, Lewiston, ME 04240 | 2009-06-03 |
| 1831325968 | Relatives and Friends for Support, Inc. | Assisted Living Facility | 75 West Main Street, Greene, ME 04236 | 2009-06-03 |
| 1386870533 | Relatives and Friends for Support, Inc. | Assisted Living Facility | 47 Wood St, Lewiston, ME 04240-6844 | 2009-06-02 |
| 1033350517 | Coastal Opportunities | Assisted Living Facility | 35 Limerock St, Camden, ME 04843-2114 | 2009-03-13 |
| 1629197926 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 411 Alfred Road, Park One Eleven, Biddeford, ME 04005 | 2007-03-28 |
| 1346373735 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 49 Florida Ave, Bangor, ME 04401-3005 | 2007-03-14 |
| 1477686715 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 747 Western Ave, Suite 3, Manchester, ME 04351-3528 | 2007-03-14 |
| 1376676767 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 324 Gannett Drive, Suite 300, South Portland, ME 04106 | 2007-03-14 |
| 1699808097 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 444 Stillwater Ave Ste 204, Bangor, ME 04401-3500 | 2007-03-14 |
| 1386711653 | Nfi North, Inc | Assisted Living Facility | 726 Finson Rd, Bangor, ME 04401-2414 | 2006-11-29 |
| Find all providers with the same taxonomy | ||||
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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.