KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC (NPI# 1629197926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629197926 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC |
| Practice Address |
411 Alfred Road Park One Eleven Biddeford ME 04005 |
| Mailing Address |
4085 Independence Drive Schnecksville PA 18078 |
| Practice Telephone | 2072844976 |
| Practice Fax Number | 2072844629 |
| Mailing Telephone | 8008543123 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2007-03-28 |
| 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 | ME | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1619185113 | Kidspeace National Centers of New England Inc | Clinic/Center | 16 Kidspeace Way, Ellsworth, ME 04605 | 2007-05-18 |
| Street Address |
411 ALFRED ROAD PARK ONE ELEVEN |
| City | BIDDEFORD |
| State | ME |
| Zip Code | 04005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942425764 | Molly Ford Hoadley | Social Worker | 411 Alfred Road, Park 111, Biddeford, ME 04005 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
| 1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
| 1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
| 1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
| 1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
| 1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
| Find all providers in zip 04005 | ||||
| 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 |
|---|---|---|---|---|
| 1477755197 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 411 Alfred Road Park One Eleven, Biddeford, ME 04005 | 2007-06-04 |
| 1487779682 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 411 Alfred Road Park One Eleven, Biddeford, ME 04005 | 2007-03-20 |
| 1932232337 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 411 Alfred Road Park One Eleven, Biddeford, ME 04005 | 2007-03-14 |
| 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 |
| 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 |
| 1265429708 | Mount St. Joseph | Assisted Living Facility | 7 Highwood St, Waterville, ME 04901-5739 | 2005-09-30 |
| 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.