KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC (NPI# 1629192794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629192794 |
| Entity Type | Organization |
| Organization Name | KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC |
| Practice Address |
747 Western Ave Suite 3 Manchester ME 04351-3528 |
| Mailing Address |
4085 Independence Drive Schenecksville PA 18078 |
| Practice Telephone | 2076221404 |
| Practice Fax Number | 2076237637 |
| Mailing Telephone | 8008543123 |
| Mailing Fax Number | 6107998318 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2010-02-17 |
| 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 | 123430003 | 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 |
| 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 |
| Street Address |
747 WESTERN AVE SUITE 3 |
| City | MANCHESTER |
| State | ME |
| Zip Code | 04351-3528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477686715 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 747 Western Ave, Suite 3, Manchester, ME 04351-3528 | 2007-03-14 |
| 1508265554 | Marianne Meghan Brann | Behavioral Analyst | 747 Western Ave, Manchester, ME 04351-3528 | 2014-08-15 |
| 1356659551 | Erica M Gates | Counselor | 747 Western Ave, Manchester, ME 04351-3528 | 2010-09-22 |
| 1407970577 | Kidspeace National Centers of New England Inc | Case Management | 747 Western Ave, Suite 3, Manchester, ME 04351-3528 | 2007-03-16 |
| 1386768471 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 747 Western Ave, Suite 3, Manchester, ME 04351-3528 | 2007-03-16 |
| 1194849299 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 747 Western Ave, Suite 3, Manchester, ME 04351-3528 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1740563428 | Insight-premier Health LLC | Clinic/Center | 27 Bowdoin Street, Manchester, ME 04351 | 2011-09-20 |
| 1427353069 | Robin Page Dufour | Physical Therapist | 6 Rockwood Dr, Suite 2, Manchester, ME 04351 | 2011-01-12 |
| 1174839708 | Richard Ofoe Kavi | Pharmacist | 943 Western Ave, Manchester, ME 04351 | 2010-08-20 |
| 1700199031 | Neil A Graves | Pharmacist | 943 Western Ave., Manchester, ME 04351 | 2010-07-15 |
| 1427212059 | Dustin R Sulak | Family Medicine | 964 Western Ave., Manchester, ME 04351 | 2008-07-14 |
| 1437312295 | Crossroads Counseling Center Pllc | Social Worker | 726 Western Ave., Manchester, ME 04351 | 2008-07-02 |
| 1548453616 | Christopher Paul Beaudoin | Social Worker | 15 Range Way Suite 3, Manchester, ME 04351 | 2007-08-22 |
| 1275724288 | Shawn Kenneth Hodgdon | Social Worker | 726 Western Avenue, Manchester, ME 04351 | 2007-08-05 |
| 1790900512 | Scott A Hayward | Social Worker | 15 Range Way, Suite 3, Manchester, ME 04351 | 2007-04-16 |
| Find all providers in zip 04351 | ||||
| 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 |
|---|---|---|---|---|
| 1477686715 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 747 Western Ave, Suite 3, Manchester, ME 04351-3528 | 2007-03-14 |
| 1386768471 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 747 Western Ave, Suite 3, Manchester, ME 04351-3528 | 2007-03-16 |
| 1194849299 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 747 Western Ave, Suite 3, Manchester, ME 04351-3528 | 2007-03-16 |
| 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 |
| 1346373735 | Kidspeace National Centers of New England Inc | Assisted Living Facility | 49 Florida Ave, Bangor, ME 04401-3005 | 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 | ||||
| City | MANCHESTER |
| Zip Code | 04351 |
Please comment or provide details below to improve the information on KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC.
| 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.