PENQUIS C.A.P., INC. (NPI# 1649346156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649346156 |
| Entity Type | Organization |
| Organization Name | PENQUIS C.A.P., INC. |
| Other Organization Name | FSD CHILD |
| 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 | 2006-11-27 |
| 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 | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 164840201 | 05 |
| Other Name | Type Code |
|---|---|
| FSD Child | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720087075 | Penquis C.a.p., Inc. | Community/Behavioral Health | 262 Harlow St, Bangor, ME 04401-4952 | 2005-07-19 |
| 1366872509 | Penquis C.a.p., Inc. | Custodial Care Facility | 262 Harlow St, Bangor, ME 04401-4952 | 2013-11-26 |
| 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 |
| 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 |
| 1366872509 | Penquis C.a.p., Inc. | Custodial Care Facility | 262 Harlow St, Bangor, ME 04401-4952 | 2013-11-26 |
| 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 |
| 1598830820 | Penquis C.a.p., Inc. | Community Based Residential Treatment Facility, Mental Illness | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-21 |
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| 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 | 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 |
|---|---|---|---|---|
| 1124160171 | Amicus | Day Training, Developmentally Disabled Services | 96 13th St, Bangor, ME 04401-4538 | 2007-02-13 |
| 1942595343 | Amicus | Day Training, Developmentally Disabled Services | 96 13th St, Suite 2, Bangor, ME 04401-4538 | 2011-06-14 |
| 1245432871 | Ucp of Northeastern Maine | Day Training, Developmentally Disabled Services | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2007-06-05 |
| 1518034453 | Penquis C.a.p., Inc. | Day Training, Developmentally Disabled Services | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285907386 | Employment Connections Maine LLC | Day Training, Developmentally Disabled Services | 9 Fengler Rd, Scarborough, ME 04074-8490 | 2012-02-21 |
| 1285918383 | Lee Todd Lacks | Day Training, Developmentally Disabled Services | 9 Lemont Ave, South Portland, ME 04106-5717 | 2011-10-06 |
| 1851601421 | Bolduc Employment Support & Training, LLC | Day Training, Developmentally Disabled Services | 175 Lancaster Street, Suite 218a, Portland, ME 04101 | 2010-10-18 |
| 1558671156 | Progressions LLC | Day Training, Developmentally Disabled Services | 58 Lower Barley St, Lebanon, ME 04027 | 2010-10-15 |
| 1831418128 | Mainehealth | Day Training, Developmentally Disabled Services | 39 Forest Ave, Portland, ME 04101 | 2010-05-26 |
| 1033433461 | Sargent Family Farm, LLC | Day Training, Developmentally Disabled Services | 11 Crazywater Creek Rd, Limington, ME 04049-3013 | 2010-03-14 |
| 1033447131 | Langley Vocational Services | Day Training, Developmentally Disabled Services | 16 Hollingsworth St, Winslow, ME 04901-6742 | 2009-12-01 |
| 1427384957 | Career Consultant Company | Day Training, Developmentally Disabled Services | 140 Turner St, Canton, ME 04221-3045 | 2009-10-18 |
| 1851625834 | St John Valley Associates, Inc. | Day Training, Developmentally Disabled Services | 291 Newberry Dr, Suite 105, Madawaska, ME 04756-1219 | 2009-09-24 |
| 1427286350 | E. Terrance Smith | Day Training, Developmentally Disabled Services | 62 Melbourne Street, Portland, ME 04101-2727 | 2009-06-30 |
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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.