KENNEDY DONOVAN CENTER, INC (NPI# 1376761734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376761734 |
Entity Type | Organization |
Organization Name | KENNEDY DONOVAN CENTER, INC |
Practice Address |
32 Commercial St South Yarmouth MA 02664-4441 |
Mailing Address |
1 Commercial St Foxboro MA 02035-2530 |
Practice Telephone | 5083856019 |
Mailing Telephone | 5085432542 |
Enumeration Date | 2007-04-23 |
Last Update Date | 2012-03-05 |
Authorized Official Name | MR. KEVIN RODMAN-CONARE (CEO PRESIDENT) |
Authorized Official Telephone | 5087721210 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
MA | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110026352H | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568632040 | Kennedy Donovan Center, Inc | Day Training, Developmentally Disabled Services | 19 Hawthorn St, New Bedford, MA 02740-4938 | 2008-03-11 |
1750487245 | Kennedy Donovan Center, Inc | Voluntary or Charitable | 25 Forest St, Attleboro, MA 02703-2407 | 2006-09-15 |
1104191212 | Kennedy Donovan Center, Inc | Non-emergency Medical Transport (VAN) | 19 Hawthorn St, New Bedford, MA 02740-4938 | 2012-03-22 |
Street Address |
32 COMMERCIAL ST |
City | SOUTH YARMOUTH |
State | MA |
Zip Code | 02664-4441 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730721648 | Taylor Drew | Behavior Technician | 435 Station Ave., Unit B, South Yarmouth, MA 02664 | 2019-10-11 |
1114428794 | Emily Rose Clark | Behavioral Analyst | 936b Station Ave, Yarmouth, MA 02664 | 2018-02-28 |
1124547906 | Kylie Joanne Zurn | Speech-Language Pathologist | 76 Phyllis Drive, South Yarmouth, MA 02664 | 2017-09-13 |
1841731338 | Meagan Pavao | Counselor | 31 Workshop Road, South Yarmouth, MA 02664 | 2017-03-16 |
1205296878 | Howayne A L Hamilton | Behavioral Analyst | 107 West Great Western Road, South Yarmouth, MA 02664 | 2016-02-25 |
1053656371 | Susan Elizabeth Davenport | Nurse Practitioner | 23 F. Whites Path, South Yarmouth, MA 02664 | 2012-11-28 |
1649444514 | Transitions Centers Inc. | Day Training, Developmentally Disabled Services | 782 Route 28, South Yarmouth, MA 02664 | 2008-04-22 |
1902934326 | David Mishkin | Clinical Neuropsychologist | 23p2 Union Station- Whites Path, S. Yarmouth, MA 02664 | 2007-02-28 |
1841343084 | Kristin Elizabeth Schmidt | Counselor | 50 Long Pond Dr, South Yarmouth, MA 02664 | 2007-01-19 |
1578628111 | Rhetta Annie Scott | Social Worker | 50 Long Pond Drive, South Yarmouth, MA 02664 | 2006-12-26 |
Find all providers in zip 02664 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437794641 | Victoria Health Services Inc | Custodial Care Facility | 10 Chase Dr, Sharon, MA 02067-2903 | 2019-11-12 |
1376089169 | Theresa Kirby | Custodial Care Facility | 119 Robbins St, Milton, MA 02186-2535 | 2017-01-17 |
1518417138 | Helping Hand Adult Say Care Health Center Inc | Custodial Care Facility | 300 Hartwell St, Fall River, MA 02721-2912 | 2016-10-06 |
1750831681 | Sweet Home Corp | Custodial Care Facility | 112 Narragansett Blvd, Chicopee, MA 01013-2120 | 2016-10-04 |
1336592187 | Bamboo Adult Day Health | Custodial Care Facility | 185 Perkins St, Brockton, MA 02301 | 2016-07-18 |
1316390248 | Better Life At Home Inc. | Custodial Care Facility | 292 Salem St, Revere, MA 02151-1000 | 2016-07-15 |
1518350875 | Millennium Home Care LLC | Custodial Care Facility | 564 Main St Ste 203, Waltham, MA 02452-5559 | 2015-03-11 |
1750772570 | Chika Patience Okerekw-nwankwo | Custodial Care Facility | 22 Marion Street, Randolph, MA 02368 | 2015-02-16 |
1962809723 | Medicine On Time Corp. | Custodial Care Facility | 154 Lynnway Unit 508, Lynn, MA 01902-3447 | 2014-11-21 |
1467852640 | Good Shepherd Services | Custodial Care Facility | 103 Selwyn Rd, Randolph, MA 02368-5185 | 2014-08-26 |
Find all providers with the same taxonomy |
City | SOUTH YARMOUTH |
Zip Code | 02664 |
Please comment or provide details below to improve the information on KENNEDY DONOVAN CENTER, INC.
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.