NPIMap

Organization Active NPI

Kennedy Donovan Center, Inc

Doing business as KDC-Transportation

  • Non-emergency Medical Transport (VAN)
  • New Bedford, MA
National Provider Identifier
1104191212
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
KENNEDY DONOVAN CENTER, INC
Doing business as
KDC-Transportation
Practice address
19 Hawthorn St
New Bedford, MA 02740-4938
Phone
(508) 997-1570
NPI assigned
Mar 22, 2012
Last updated
Mar 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kevin Rodman Conaare
Title
President & Ceo
Phone
(508) 543-2542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

19 Hawthorn St
New Bedford, MA 02740-4938

Mailing address

1 Commercial St
Foxboro, MA 02035-2530
Phone (508) 543-2542

Other identifiers 1

IdentifierTypeStateIssuer
110026352JMedicaidMA

Other names 1

  • KDC-Transportation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Residential Home10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1104191212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMMERCIAL ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352530",
            "telephone_number": "508-543-2542",
            "fax_number": "508-543-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HAWTHORN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027404938",
            "telephone_number": "508-997-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY DONOVAN CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "CONAARE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RODMAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "508-543-2542",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026352J",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KDC-Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.