Kennebunk Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2680 Issued in ME

Legal business name

KENNEBUNK OPERATIONS, LLC

Doing business as

RiverRidge Center

Practice address

3 Brazier LN
Kennebunk, ME 04043-7095

Phone

(207) 985-3030

Fax

(207) 985-6428

NPI assigned

Oct 24, 2013

Last updated

Oct 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia Anne Buzzell

Title

Business Office Manager

Phone

(207) 985-3030

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RiverRidge Center Doing business as

Tax ID family

Kennebunk Operations LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Kennebunk Operations, LLC

  dba RiverRidge Center

  • Skilled Nursing Facility
  • Kennebunk, ME
  • NPI 1508928995
  NPD tax ID
• Kennebunk Operations, LLC

  dba RiverRidge Center

  • Assisted Living Facility
  • Kennebunk, ME
  • NPI 1538222914
  NPD tax ID

Locations

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1184052359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRAZIER LN",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437095",
            "telephone_number": "207-985-3030",
            "fax_number": "207-985-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRAZIER LN",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437095",
            "telephone_number": "207-985-3030",
            "fax_number": "207-985-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEBUNK OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "BUZZELL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "207-985-3030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": "2680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "732469800",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RiverRidge Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kennebunk Chiropractic, PA
• Kennebunk Family Dental Care (Kennebunk Center for Dentistry)
• Kennebunk Family Practice, LLC
• Kennebunk Good for All Pharmacy
• Kennebunk Nursing and Rehab Center
• Kennebunk Operations, LLC (RiverRidge Center)
• Kennebunk Operations, LLC (RiverRidge Center)
• Kennebunk Walk-in Clinic (Family Practice on the River)
• Kenneth D Warren DPM PLLC
• Alex Kerbaugh, DMD

• Skilled Nursing Facility in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Skilled Nursing Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.