Active NPI
Penobscot Area Housing Development Corporation
- Assisted Living Facility
- Bangor, ME
National Provider Identifier
1265645394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- ALLS 2290
- Legal business name
- PENOBSCOT AREA HOUSING DEVELOPMENT CORPORATION
- Practice address
- 215 French St
Bangor, ME 04401-5012 - Phone
- (207) 942-3996
- NPI assigned
- May 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joan C Ferrell
- Title
- Administrator
- Phone
- (207) 942-5353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALLS 2290 | ME | Primary |
Addresses
Primary practice location
215 French St
Bangor, ME 04401-5012
Mailing address
112 Ohio St
Bangor, ME 04401-4737
Phone (207) 942-5353
National Provider Directory
National Provider Directory- Tax ID family
- Penobscot Area Housing Development Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Bangor, ME
- NPI 1821266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265645394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 OHIO ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014737",
"telephone_number": "207-942-5353",
"fax_number": "207-342-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 FRENCH ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015012",
"telephone_number": "207-942-3996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENOBSCOT AREA HOUSING DEVELOPMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FERRELL",
"authorized_official_first_name": "JOAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "207-942-5353"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "ME",
"license": "ALLS 2290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.