Penobscot Area Housing Development Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALLS 2785 Issued in ME

Legal business name

PENOBSCOT AREA HOUSING DEVELOPMENT CORPORATION

Practice address

112 Ohio St
Bangor, ME 04401-4737

Phone

(207) 942-5353

Fax

(207) 942-5353

NPI assigned

Feb 11, 2008

Last updated

Feb 11, 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

Jeffrey Ferrell

Title

Services Coordinator

Phone

(207) 942-5353

Specialties & licenses 1

Addresses

Tax ID family

Penobscot Area Housing Development Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Penobscot Area Housing Development Corporation

  • Assisted Living Facility
  • Bangor, ME
  • NPI 1265645394
  NPD tax ID

Locations

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1821266024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 OHIO ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014737",
            "telephone_number": "207-942-5353",
            "fax_number": "207-942-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 OHIO ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014737",
            "telephone_number": "207-942-5353",
            "fax_number": "207-942-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENOBSCOT AREA HOUSING DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "SERVICES COORDINATOR",
        "authorized_official_telephone_number": "207-942-5353"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "ME",
            "license": "ALLS 2785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Pendergast
• Karen Peng, MD
• Monique Penney, NP
• Penobscot Area Housing Development Corporation
• Penobscot Area Housing Development Corporation
• Penobscot Childrens Dentistry Associates
• Penobscot Community Health Care
• Penobscot Community Health Center (William S. Cohen School)
• Penobscot Community Health Center (Penobscot Community Dental Clinic)
• Penobscot Community Health Center (Adult Wellness Center)

• Assisted Living Facility in Bangor, ME
• Providers in Bangor, ME by specialty
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.