Kennison Family Foster Home

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

KENNISON FAMILY FOSTER HOME

Practice address

353 Greenwood Rd
Norway, ME 04268-4402

Phone

(207) 527-2405

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Donna M. Kennison, HOME PROVIDER

Title

Owner

Phone

(207) 527-2405

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1659569218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 GREENWOOD RD",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042684402",
            "telephone_number": "207-527-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 GREENWOOD RD",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042684402",
            "telephone_number": "207-527-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNISON FAMILY FOSTER HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "KENNISON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-527-2405",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "HOME PROVIDER"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Jones
• Isaak Mackenzie Jones, MD
• Julie Ann Peterson, P.a.
• Emily Karonis
• Julianna Kasik, PT
• Matthew S Kerr, MD
• Ketner Investment Corp
• Francis X Kieliszek, MD
• Lisa King
• Mark A Klemperer, M.D.

• Intellectual Disabilities Intermediate Care Facility in Norway, ME
• Providers in Norway, ME by specialty
• Intellectual Disabilities Intermediate Care Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.