KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC


Address: 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605
Phone: 2076670909

KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC (NPI# 1700958022) 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) 1700958022
Entity Type Organization
Organization Name KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC
Practice Address 16 Kidspeace Way
Graham Lake Campus
Ellsworth
ME 04605
Mailing Address 4085 Independence Dr
Schnecksville
PA 18078-2574
Practice Telephone 2076670909
Practice Fax Number 2076676348
Mailing Telephone 8008543123
Mailing Fax Number 6107998318
Enumeration Date 2006-11-14
Last Update Date 2008-07-18
Authorized Official Name MR. MICHAEL W SLACK (VP FOR MARKETING AND BUSINESS DEVEL)
Authorized Official Telephone 8008543123
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 216402 ME Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CT 58580 05
NH 30833999 05
ME 123430001 05

Other Provider IDs and Locations

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
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

Office Location

Street Address 16 KIDSPEACE WAY
GRAHAM LAKE CAMPUS
City ELLSWORTH
State ME
Zip Code 04605

Providers in the same location

NPI Name Taxonomy Address Enumeration
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
1619185113 Kidspeace National Centers of New England Inc Clinic/Center 16 Kidspeace Way, Ellsworth, ME 04605 2007-05-18
1346454758 Amy M Burrell Social Worker 16 Kidspeace Way, Ellsworth, ME 04605-0787 2007-05-09
1336353747 Donald Lawrence Bigwood Psychiatry & Neurology 16 Kidspeace Way, Ellsworth, ME 04605-0787 2007-05-09
1245444652 Paula Ann Kirkpatrick Social Worker 16 Kidspeace Way, Ellsworth, ME 04605-0787 2007-05-09
1801910971 Kidspeace National Centers of New England Inc Residential Treatment Facility, Emotionally Disturbed Children 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 2007-03-16
1225152309 Kidspeace National Centers of New England Inc Assisted Living Facility 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 2007-03-16
1194849273 Kidspeace National Centers of New England Inc Residential Treatment Facility, Emotionally Disturbed Children 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 2007-03-16
1093839185 Kidspeace National Centers of New England Inc Psychiatric Residential Treatment Facility 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 2007-03-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760940464 Mary Elizabeth Wagstaff Occupational Therapist Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 2019-03-12
1154784668 Black Dog Medical Pa Internal Medicine 11 Madison Avenue, Lamoine, ME 04605 2016-04-01
1528466687 Eyecare Now Point of Service 248 State St., Ste. 7, Ellsworth, ME 04605 2014-12-05
1104245364 Elizabeth Arntzen Massage Therapist 61 Pine St., Ellsworth, ME 04605 2014-04-15
1992144794 Kenneth L Senter Family Medicine 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 2013-06-14
1639465248 Lynne Marie Betz Dental Hygienist 52 Christian Ridge Road, Ellsworth, ME 04605 2011-06-22
1215238431 Kimberly Ann Burgess Social Worker 23 Carriage Way, Ellsworth, ME 04605 2010-11-04
1962713115 Springy Pond Farm Voluntary or Charitable 562 Springy Pond Rd., Otis, ME 04605 2010-06-23
1851629851 Astor Charlene Gillis Counselor 59 Franklin St., Suite B, Ellsworth, ME 04605 2009-12-02
1326372723 Patricia Brown Orchard Community Health Worker 10 Water Street, Suite 124, Ellsworth, ME 04605 2009-10-01
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1801910971 Kidspeace National Centers of New England Inc Residential Treatment Facility, Emotionally Disturbed Children 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 2007-03-16
1194849273 Kidspeace National Centers of New England Inc Residential Treatment Facility, Emotionally Disturbed Children 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 2007-03-16
1083738173 Kidspeace National Centers of New England Inc Residential Treatment Facility, Emotionally Disturbed Children 16 Kidspeace Way, Graham Lake Campus, Ellsworth, ME 04605 2007-03-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497917371 Summit Achievement of Stow Residential Treatment Facility, Emotionally Disturbed Children 69 Deer Hill Rd, Stow, ME 04037-3100 2008-07-01
1316134273 Santana Lynn Riding Stables Residential Treatment Facility, Emotionally Disturbed Children 728 Upper Guinea Rd, Lebanon, ME 04027-4417 2007-09-25
1770703597 Good Will Home Association Residential Treatment Facility, Emotionally Disturbed Children Waterville Rd, Prescott Administration Bldg., Hinckley, ME 04944-0159 2007-04-26
1144397480 Nfi North, Inc Residential Treatment Facility, Emotionally Disturbed Children 99 North Mountain Rd, Jefferson, ME 04348 2006-11-30
1679649990 Nfi North, Inc Residential Treatment Facility, Emotionally Disturbed Children 55 Oliver St, Bath, ME 04530-2826 2006-11-28
1376610311 Nfi North, Inc Residential Treatment Facility, Emotionally Disturbed Children 63 Summit Ave, Bangor, ME 04401-5631 2006-11-28
1093881369 Nfi North, Inc Residential Treatment Facility, Emotionally Disturbed Children 98 Russell St, Lewiston, ME 04240-6004 2006-11-28
1134295405 Nfi North, Inc Residential Treatment Facility, Emotionally Disturbed Children 15 Wayside Ave, Bridgton, ME 04009-1231 2006-11-28
1588737985 Charlotte White Center Residential Treatment Facility, Emotionally Disturbed Children 487 Garland Rd, Dexter, ME 04930-2652 2006-11-16
1669415659 Harbor Schools of Maine, Inc. Residential Treatment Facility, Emotionally Disturbed Children 1152 Rockland St., W. Rockport, ME 04865 2006-06-14
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Competitor

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City ELLSWORTH
Zip Code 04605

Improve Information

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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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