NPIMap

Organization Active NPI

Kennedy Donovan Center, Inc

  • Voluntary or Charitable Agency
  • Attleboro, MA
National Provider Identifier
1750487245
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
KENNEDY DONOVAN CENTER, INC
Practice address
25 Forest St
Attleboro, MA 02703-2407
Phone
(508) 226-6035
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Authorized official

Name
Mr. Kevin Rodman-Conare
Title
Ceo/President
Phone
(508) 543-2542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X MA Primary

Addresses

Primary practice location

25 Forest St
Attleboro, MA 02703-2407

Mailing address

1 Commercial St
Foxboro, MA 02035-2530
Phone (508) 543-2542

Other identifiers 9

IdentifierTypeStateIssuer
0008524OtherMAEARLY INTERVENTION
KD0001OtherMAEARLY INTERVENTION
000000021539OtherMAEARLY INTERVENTION
1802453MedicaidMA
1800647MedicaidMA
1800604MedicaidMA
1800612MedicaidMA
601795OtherMAEARLY INTERVENTION
EI0025OtherMAEARLY INTERVENTION

National Provider Directory

National Provider Directory
Tax ID family
Kennedy-Donovan Center Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1750487245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COMMERCIAL ST",
            "city": "FOXBORO",
            "state": "MA",
            "postal_code": "020352530",
            "telephone_number": "508-543-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FOREST ST",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027032407",
            "telephone_number": "508-226-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY DONOVAN CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "RODMAN-CONARE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "508-543-2542",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION",
            "identifier": "0008524",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION",
            "identifier": "KD0001",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION",
            "identifier": "000000021539",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802453",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1800647",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1800604",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1800612",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION",
            "identifier": "601795",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION",
            "identifier": "EI0025",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.