NPIMap

Organization Active NPI

Care Development of Maine

Doing business as Community Care

  • Foster Care Agency
  • Bangor, ME
National Provider Identifier
1336377290
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
220602 Issued in ME
Legal business name
CARE DEVELOPMENT OF MAINE
Doing business as
Community Care
Practice address
40 Summer St
Bangor, ME 04401-6446
Phone
(207) 945-4240
Fax
(207) 299-1102
NPI assigned
Jun 30, 2009
Last updated
Nov 4, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CARE DEVELOPMENT OF MAINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Ms. Nellie A Kennedy
Title
Finance Director
Phone
(207) 945-4240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 220602 ME Primary

Addresses

Primary practice location

40 Summer St
Bangor, ME 04401-6446

Mailing address

PO Box 936
Bangor, ME 04402-0936
Phone (207) 945-4240

Other identifiers 1

IdentifierTypeStateIssuer
133900000MedicaidME

Other names 1

  • Community Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Communty Care6 organizations share this tax ID, including this one
Part of
Communty Care

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1336377290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044020936",
            "telephone_number": "207-945-4240",
            "fax_number": "207-299-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SUMMER ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016446",
            "telephone_number": "207-945-4240",
            "fax_number": "207-299-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DEVELOPMENT OF MAINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE DEVELOPMENT OF MAINE",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "NELLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "207-945-4240",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "ME",
            "license": "220602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133900000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 4, 2009; 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.