KENNEDY DONOVAN CENTER, INC


Address: 32 Commercial St, South Yarmouth, MA 02664-4441
Phone: 5083856019

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
MA Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MA 110026352H 05

Other Provider IDs and Locations

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

Office Location

Street Address 32 COMMERCIAL ST
City SOUTH YARMOUTH
State MA
Zip Code 02664-4441

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City SOUTH YARMOUTH
Zip Code 02664

Improve Information

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Dataset Information

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.

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