MR. JEFFREY RAYMOND KINNEY


Address: 23 Fieldstone Drive, Bangor, ME 04401
Phone: 2079473176

MR. JEFFREY RAYMOND KINNEY (NPI# 1902933393) 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) 1902933393
Entity Type Individual
Full Name MR. JEFFREY RAYMOND KINNEY
Practice Address 23 Fieldstone Drive
Bangor
ME 04401
Practice Telephone 2079473176
Practice Fax Number 2079459924
Mailing Telephone 2079473176
Mailing Fax Number 2079459924
Enumeration Date 2007-02-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities Residential Treatment Facilities

Other Providers JEFFREY KINNEY

NPI Name Taxonomy Address Enumeration
1205471299 Jeffrey Kinney Pharmacist 1500 N Cedar Crest Blvd, Allentown, PA 18104-2357 2019-11-13

Office Location

Street Address 23 FIELDSTONE DRIVE
City BANGOR
State ME
Zip Code 04401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801923206 Debra Raye Kinney Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 23 Fieldstone Drive, Bangor, ME 04401 2007-02-27

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245699461 Creative Options, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1660 Ohio St, Bangor, ME 04401-2215 2016-02-16
1801923206 Debra Raye Kinney Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 23 Fieldstone Drive, Bangor, ME 04401 2007-02-27
1447484027 Darlene Marie Kenny Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 21 East St, Bangor, ME 04401-5802 2009-05-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265033088 Palms Residential Care Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1500 Forest Ave Apt 13d, Portland, ME 04103-1846 2020-11-06
1588264378 Amahoro LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 59 Starboard Dr, Cape Elizabeth, ME 04107-9647 2020-10-29
1194340646 Veritas Care of Maine Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 570 Brighton Ave Ste 2, Portland, ME 04102-2355 2020-06-10
1497387708 Paradise Residential Services LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6 Stephanie Dr, Gorham, ME 04038-1394 2020-02-05
1679104673 Dynamic Alternative Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 171 Brook St, Sanford, ME 04073-2505 2020-01-29
1811528920 Alternative Residential Care Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 14 Joes Rd, Windham, ME 04062-4515 2020-01-28
1790321578 Supportive Partnerships Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1 Fellows St, Portland, ME 04103-2414 2019-11-26
1437792199 Atlantic Community Support LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 75 Bishop St Ste 13, Portland, ME 04103-2614 2019-10-24
1396390811 Golden Group Home Services, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 40 Bernard Rd, Portland, ME 04103-3611 2019-08-02
1588217897 Blue Star Homecare LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 23 Myrtle St Apt 102, Biddeford, ME 04005-3578 2019-07-17
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City BANGOR
Zip Code 04401

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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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