KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC (NPI# 1699808097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699808097 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC |
| Practice Address |
444 Stillwater Ave Ste 204 Bangor ME 04401-3500 |
| Mailing Address |
4085 Independence Drive Schenecksville PA 18078 |
| Practice Telephone | 2072991414 |
| Practice Fax Number | 2079476278 |
| Mailing Telephone | 8008543123 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-04-10 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 123430009 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629197926 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 411 Alfred Road, Park One Eleven, Biddeford, ME 04005 | 2007-03-28 |
| 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 |
| 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 |
444 STILLWATER AVE STE 204 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144591223 | Ashley M Denham | Social Worker | 444 Stillwater Ave Ste 204, Bangor, ME 04401-3500 | 2012-01-20 |
| 1346364445 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 444 Stillwater Ave Ste 204, Bangor, ME 04401-3500 | 2007-03-16 |
| 1619000858 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 444 Stillwater Ave Ste 204, Bangor, ME 04401-3500 | 2007-03-14 |
| 1033242441 | Kidspeace National Centers of New England Inc | Case Management | 444 Stillwater Ave Ste 204, Bangor, ME 04401-3500 | 2007-03-14 |
| 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 | 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 |
|---|---|---|---|---|
| 1346373735 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 49 Florida Ave, Bangor, ME 04401-3005 | 2007-03-14 |
| 1386711653 | Nfi North, Inc | Assisted Living Facility | 726 Finson Rd, Bangor, ME 04401-2414 | 2006-11-29 |
| 1346364445 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 444 Stillwater Ave Ste 204, Bangor, ME 04401-3500 | 2007-03-16 |
| 1619000858 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 444 Stillwater Ave Ste 204, Bangor, ME 04401-3500 | 2007-03-14 |
| 1932276979 | Nfi North, Inc | Assisted Living Facility | 60 Ohio St, Bangor, ME 04401-4732 | 2006-11-28 |
| 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 |
| 1629197926 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 411 Alfred Road, Park One Eleven, Biddeford, ME 04005 | 2007-03-28 |
| 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 |
| 1265429708 | Mount St. Joseph | Assisted Living Facility | 7 Highwood St, Waterville, ME 04901-5739 | 2005-09-30 |
| 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 |
| 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.