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Organization Active NPI

Kidspeace National Centers of New England Inc

  • Assisted Living Facility (Mental Illness)
  • Bangor, ME
National Provider Identifier
1346373735
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
208541 Issued in ME
Legal business name
KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC
Practice address
49 Florida Ave
Bangor, ME 04401-3005
Phone
(207) 299-1414
Fax
(207) 947-6278
NPI assigned
Mar 14, 2007
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Michael Slack
Title
President and Ceo
Phone
(610) 799-8405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 208541 ME Primary

Addresses

Primary practice location

49 Florida Ave
Bangor, ME 04401-3005

Mailing address

4085 Independence Dr
Schnecksville, PA 18078-2574
Phone (610) 799-8343

Other identifiers 2

IdentifierTypeStateIssuer
1346373735-005MedicaidME
123430013MedicaidME

National Provider Directory

National Provider Directory
Tax ID family
Kidspeace National Centers of New England Inc46 organizations share this tax ID, including this one

Other organizations with this tax ID 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1346373735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 INDEPENDENCE DR",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "180782574",
            "telephone_number": "610-799-8343",
            "fax_number": "610-799-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 FLORIDA AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013005",
            "telephone_number": "207-299-1414",
            "fax_number": "207-947-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "610-799-8405"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "ME",
            "license": "208541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346373735-005",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123430013",
            "state": "ME"
        }
    ],
    "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 Oct 8, 2026; 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.