Kendall Community Case Management Agency

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

G9012 HI Issued in ME

Legal business name

KENDALL COMMUNITY CASE MANAGEMENT AGENCY

Practice address

64 Water St
Berman Mall Suite 3
Eastport, ME 04631-1329

Phone

(207) 853-0963

Fax

(207) 853-0694

NPI assigned

Aug 19, 2014

Organization subpart

No

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

Authorized official

Name

Andrea Kendall, LSW

Title

Owner/Administrator

Phone

(207) 853-4245

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1558760140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "address_2": "BERMAN MALL SUITE 3 64 WATER ST",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "046310185",
            "telephone_number": "207-853-0693",
            "fax_number": "207-853-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 WATER ST",
            "address_2": "BERMAN MALL SUITE 3",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "046311329",
            "telephone_number": "207-853-0963",
            "fax_number": "207-853-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL COMMUNITY CASE MANAGEMENT AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "207-853-4245",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ME",
            "license": "G9012 HI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastport Family Pharmacy
• Eastport Health Care, Inc.
• Eastport Memorial Hospital
• Eastport School Department
• Abhay Arun Ektare
• Pamela J. Koenig, MSN, CRNP
• Anne M Leaver, LCPC
• Katherine M Marks Cook, LCSW LADC
• Terri Mumme, MSN, APRN, FNP-C
• Ann E. O'Brien, APNP

• Case Management Agency in Eastport, ME
• Providers in Eastport, ME by specialty
• Case Management Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.