PENQUIS C.A.P., INC. (NPI# 1508932898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508932898 |
| Entity Type | Organization |
| Organization Name | PENQUIS C.A.P., INC. |
| Other Organization Name | W114 KIMGSBURY RD |
| 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 | 2006-11-28 |
| 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 | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 164840603 | 05 |
| Other Name | Type Code |
|---|---|
| W114 Kimgsbury Rd | 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 |
| 1649346156 | Penquis C.a.p., Inc. | Day Training, Developmentally Disabled Services | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-27 |
| 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 |
| 1649346156 | Penquis C.a.p., Inc. | Day Training, Developmentally Disabled Services | 262 Harlow St, Bangor, ME 04401-4952 | 2006-11-27 |
| 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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| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
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| 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 | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1265644314 | Mert Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 225 Bomarc Rd., Bangor, ME 04401 | 2007-05-03 |
| 1558490706 | Resources for Human Development | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2475 Ackermanville Rd, Bangor, PA 18013-9364 | 2007-03-05 |
| 1073651691 | Marsha A. Moore | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 114 Somerset St, Bangor, ME 04401-5326 | 2007-02-03 |
| 1457498867 | U-can Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 384 Hammond St, Bangor, ME 04401-4647 | 2007-02-01 |
| 1902961782 | Kathleen Hope Rioux | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 Olive Hts, Bangor, ME 04401-6815 | 2006-12-22 |
| 1962563825 | The Getchell Agency, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 785 Mount Hope Ave, Bangor, ME 04401-5621 | 2006-12-13 |
| 1427121243 | Ohi | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 203 Maine Ave, Bangor, ME 04401-4331 | 2006-11-17 |
| 1063614691 | Ucp of Northeastern Maine | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2007-06-05 |
| 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 |
| Find all providers in BANGOR | ||||
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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.