PENQUIS C.A.P., INC. (NPI# 1366872509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366872509 |
| Entity Type | Organization |
| Organization Name | PENQUIS C.A.P., INC. |
| Practice Address |
262 Harlow St Bangor ME 04401-4952 |
| Mailing Address |
Po Box 1162 Bangor ME 04402-1162 |
| Practice Telephone | 2079733500 |
| Mailing Telephone | 2079733500 |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2018-12-10 |
| Authorized Official Name | KARA HAY (CEO) |
| Authorized Official Telephone | 2079733500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 220724 | ME | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087075 | Penquis C.a.p., Inc. | Community/Behavioral Health | 262 Harlow St, Bangor, ME 04401-4952 | 2005-07-19 |
| 1508110271 | Penquis C.a.p., Inc. | Home Health | 262 Harlow St, Bangor, ME 04401-4952 | 2012-11-02 |
| 1649590902 | Penquis C.a.p., Inc. | Custodial Care Facility | 262 Harlow St, Bangor, ME 04401-4952 | 2010-06-09 |
| 1427282649 | Penquis C.a.p., Inc. | Case Management | 262 Harlow St, Bangor, ME 04401-4952 | 2009-05-04 |
| 1518034453 | Penquis C.a.p., Inc. | Day Training, Developmentally Disabled Services | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-29 |
| 1659448504 | Penquis C.a.p., Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-29 |
| 1619043098 | Penquis C.a.p., Inc. | Community/Behavioral Health | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-28 |
| 1508932898 | Penquis C.a.p., Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-28 |
| 1649346156 | Penquis C.a.p., Inc. | Day Training, Developmentally Disabled Services | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-27 |
| 1598830820 | Penquis C.a.p., Inc. | Community Based Residential Treatment Facility, Mental Illness | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-21 |
| Street Address |
262 HARLOW ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-4952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087075 | Penquis C.a.p., Inc. | Community/Behavioral Health | 262 Harlow St, Bangor, ME 04401-4952 | 2005-07-19 |
| 1508110271 | Penquis C.a.p., Inc. | Home Health | 262 Harlow St, Bangor, ME 04401-4952 | 2012-11-02 |
| 1649590902 | Penquis C.a.p., Inc. | Custodial Care Facility | 262 Harlow St, Bangor, ME 04401-4952 | 2010-06-09 |
| 1427282649 | Penquis C.a.p., Inc. | Case Management | 262 Harlow St, Bangor, ME 04401-4952 | 2009-05-04 |
| 1518034453 | Penquis C.a.p., Inc. | Day Training, Developmentally Disabled Services | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-29 |
| 1659448504 | Penquis C.a.p., Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-29 |
| 1619043098 | Penquis C.a.p., Inc. | Community/Behavioral Health | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-28 |
| 1508932898 | Penquis C.a.p., Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-28 |
| 1649346156 | Penquis C.a.p., Inc. | Day Training, Developmentally Disabled Services | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-27 |
| 1598830820 | Penquis C.a.p., Inc. | Community Based Residential Treatment Facility, Mental Illness | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-21 |
| 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 | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477797181 | Fairmount Boarding Home | Custodial Care Facility | 8 13th St, Bangor, ME 04401-4538 | 2009-04-24 |
| 1649590902 | Penquis C.a.p., Inc. | Custodial Care Facility | 262 Harlow St, Bangor, ME 04401-4952 | 2010-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214979 | American Home Care LLC | Custodial Care Facility | 16 Hawthorne Ln, Westbrook, ME 04092-2754 | 2020-08-04 |
| 1295979755 | Manor At Phillipstown Place Inc | Custodial Care Facility | 164 Hanson Ridge Rd, Springvale, ME 04083-5403 | 2009-04-28 |
| 1366600371 | Fallbrook Inc | Custodial Care Facility | 418 Raystreet, Portland, ME 04103 | 2008-05-27 |
| 1609917889 | City of Portland | Custodial Care Facility | 1145 Brighton Ave, Portland, ME 04102-1025 | 2007-02-09 |
| 1497002943 | Charlotte White Center | Custodial Care Facility | 487 Garland Rd, Dexter, ME 04930-2652 | 2012-08-14 |
| 1811227770 | Angels On High, Inc. | Custodial Care Facility | 48 High St, South Portland, ME 04106-1514 | 2009-12-28 |
| 1487898912 | H. D. Goodall Hospital, Inc. | Custodial Care Facility | 25 June St, Sanford, ME 04073-2621 | 2009-04-28 |
| 1730323262 | H. D. Goodall Hospital Inc. | Custodial Care Facility | 25 June St, Sanford, ME 04073-2621 | 2009-04-28 |
| 1205070919 | Dexter Boarding Home | Custodial Care Facility | 45 Main St, Dexter, ME 04930-1267 | 2009-04-24 |
| 1902090285 | Casa, Inc. | Custodial Care Facility | 741 Warren Ave, Portland, ME 04103-1007 | 2007-08-30 |
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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.