Kittery Commons LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

KITTERY COMMONS LLC

Doing business as

Durgin Pines

Practice address

9 Lewis Road
Kittery, ME 03904

Phone

(207) 439-9800

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Sheryl A Bradley

Title

Cfo

Phone

(207) 782-4797

Specialties & licenses 1

Addresses

Other names 1

• Durgin Pines Doing business as

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1881866580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 MINOT AVENUE",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "04210",
            "telephone_number": "207-782-4797",
            "fax_number": "207-777-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LEWIS ROAD",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "03904",
            "telephone_number": "207-439-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITTERY COMMONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "207-782-4797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durgin Pines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gage David-Clayton Kahn
• Katherine Wilson, PLLC
• Emily Jean Katz, PA-C
• Timothy Kingsbury, D.O.
• Kathleen Kippin, COTA/L
• Kittery Family Practice
• Kittery Family Practice
• Kittery Family Practice PA
• Kittery Ophthalmic Consultants
• Kittery Optometric Associates, PLLC

• Skilled Nursing Facility in Kittery, ME
• Providers in Kittery, ME by specialty
• Skilled Nursing Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.