KENNEDY DONOVAN CENTER, INC (NPI# 1568632040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568632040 |
| Entity Type | Organization |
| Organization Name | KENNEDY DONOVAN CENTER, INC |
| Other Organization Name | KENNEDY DONOVAN DAY HABILITATION |
| Practice Address |
19 Hawthorn St New Bedford MA 02740-4938 |
| Mailing Address |
1 Commercial St Foxboro MA 02035-2530 |
| Practice Telephone | 5089924756 |
| Practice Fax Number | 5089995367 |
| Mailing Telephone | 5085432542 |
| Mailing Fax Number | 5085439488 |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2012-03-05 |
| Authorized Official Name | MR. KEVIN RODMAN CONARE (PRESIDENT & CEO) |
| Authorized Official Telephone | 5085432542 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110026352I | 05 |
| Other Name | Type Code |
|---|---|
| Kennedy Donovan Day Habilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376761734 | Kennedy Donovan Center, Inc | Custodial Care Facility | 32 Commercial St, South Yarmouth, MA 02664-4441 | 2007-04-23 |
| 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 |
19 HAWTHORN ST |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02740-4938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508254053 | Baileigh Wirzburger | Speech-Language Pathologist | 19 Hawthorn St, New Bedford, MA 02740-4938 | 2015-01-07 |
| 1912303611 | Sarah Romanowicz | Developmental Therapist | 19 Hawthorn St, New Bedford, MA 02740-4938 | 2014-11-07 |
| 1871832444 | Lauren Margaret Church | Specialist/Technologist | 19 Hawthorn St, New Bedford, MA 02740-4938 | 2013-02-01 |
| 1104191212 | Kennedy Donovan Center, Inc | Non-emergency Medical Transport (VAN) | 19 Hawthorn St, New Bedford, MA 02740-4938 | 2012-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294019 | Jacqueline Maye | Homemaker | 167 North Street, New Bedford, MA 02740 | 2020-04-27 |
| 1467095810 | Siere Jennifer Alkee | Psychiatry & Neurology | 68 N.front St, New Bedford, MA 02740 | 2019-10-17 |
| 1285282285 | Michelle Marie Montella | Counselor | 5 Dover St., New Bedford, MA 02740 | 2019-09-03 |
| 1891349460 | Carla E Fernandes | Counselor | 89 Pleasant Street, Apt 2, New Bedford, MA 02740 | 2019-07-31 |
| 1881156446 | Rachael Nylin | Health Educator | 128 Union St, Ste 204, New Bedford, MA 02740 | 2019-04-03 |
| 1194207563 | Wendy Anne Pacheco | Social Worker | 179 William Street, New Bedford, MA 02740 | 2018-09-03 |
| 1972085306 | Clear Coast Dental Pllc | Dentist | 906 Hathaway Road, New Bedford, MA 02740 | 2018-09-01 |
| 1538646617 | Derek Baptiste | Counselor | 68 N. Front St, New Bedford, MA 02740 | 2018-07-23 |
| 1316439227 | Savanna Alexandrea Jones | Social Worker | 543 North St., New Bedford, MA 02740 | 2018-06-06 |
| 1265940860 | My Dental New Bedford | Clinic/Center | 770 Purchase St, New Bedford, MA 02740 | 2018-01-17 |
| Find all providers in zip 02740 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871712489 | Lifestream, Inc | Day Training, Developmentally Disabled Services | 444 Myrtle St, New Bedford, MA 02746-1682 | 2007-04-24 |
| 1912231838 | Better Community Living, Inc. | Day Training, Developmentally Disabled Services | 384 County St, New Bedford, MA 02740-4980 | 2009-09-24 |
| 1154540771 | Lifestream, Inc | Day Training, Developmentally Disabled Services | 13 Welby Rd, New Bedford, MA 02745-1132 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385631 | Dynamic Support Team LLC | Day Training, Developmentally Disabled Services | 20 Commercial Dr, Dracut, MA 01826-2837 | 2020-10-29 |
| 1992363741 | Lifelinks, Inc | Day Training, Developmentally Disabled Services | 50t Concord St, Wilmington, MA 01887-2179 | 2019-06-05 |
| 1710541479 | Northeast Arc | Day Training, Developmentally Disabled Services | 100 Independence Way Ste W150, Danvers, MA 01923-3626 | 2019-04-29 |
| 1841758463 | Launchpad LLC | Day Training, Developmentally Disabled Services | 3 Oakhill Ave, Foxborough, MA 02035-2926 | 2019-03-04 |
| 1295290765 | Moving Forward Inc. | Day Training, Developmentally Disabled Services | 141 Falmouth Rd, Hyannis, MA 02601-2755 | 2019-02-08 |
| 1326570235 | Venture Community Services, Inc | Day Training, Developmentally Disabled Services | 670 Douglas St, Uxbridge, MA 01569-2001 | 2017-03-30 |
| 1063964351 | Autism Advocates of New England Inc | Day Training, Developmentally Disabled Services | 10 Ashburnham Rd, Worcester, MA 01605-1310 | 2016-11-02 |
| 1205208220 | Ashley Ortiz | Day Training, Developmentally Disabled Services | 90 Fenno St, Revere, MA 02151-3808 | 2015-10-29 |
| 1083092274 | Cardinal Cushing Centers, Inc. | Day Training, Developmentally Disabled Services | 291 Rockland St, Hanover, MA 02339-2385 | 2015-05-08 |
| 1245649151 | Nupath Inc. | Day Training, Developmentally Disabled Services | 7 Lyberty Way, Westford, MA 01886-3617 | 2014-08-05 |
| Find all providers with the same taxonomy | ||||
| City | NEW BEDFORD |
| Zip Code | 02740 |
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.