NPIMap

Organization Active NPI

Penquis C.a.P., Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bangor, ME
National Provider Identifier
1508932898
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PENQUIS C.A.P., INC.
Practice address
262 Harlow St
Bangor, ME 04401-4952
Phone
(207) 973-3500
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Kara Hay
Title
Ceo
Phone
(207) 973-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

262 Harlow St
Bangor, ME 04401-4952

Mailing address

PO Box 1162
Bangor, ME 04402-1162
Phone (207) 973-3500

Other identifiers 1

IdentifierTypeStateIssuer
164840603MedicaidME

Other names 1

  • W114 Kimgsbury Rd Other name

National Provider Directory

National Provider Directory
Tax ID family
Penquis Cap Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1508932898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1162",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044021162",
            "telephone_number": "207-973-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 HARLOW ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014952",
            "telephone_number": "207-973-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENQUIS C.A.P., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "HAY",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-973-3500"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164840603",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W114 Kimgsbury Rd",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "W114 Kimgsbury Rd",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 10, 2018; 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.