Kennebunk Nursing and Rehab Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

PA1151 Issued in ME

Legal business name

KENNEBUNK NURSING AND REHAB CENTER

Practice address

158 Ross Rd
Kennebunk, ME 04043-6532

Phone

(207) 604-7115

NPI assigned

May 28, 2008

Last updated

May 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Roope

Title

Physical Therapist Assistant

Phone

(207) 985-7141

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1821256744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VICTORY AVE",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 ROSS RD",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436532",
            "telephone_number": "207-604-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEBUNK NURSING AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "ROOPE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "207-985-7141"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "ME",
            "license": "PA1151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Nursing Facility/Intermediate Care Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.