- Practice location
- 64 Water St, Berman Mall Suite 3, Eastport, ME 04631-1329
- Phone
- 207-853-0963
- Fax
- 207-853-0694
- Last updated
- August 19, 2014
Kendall Community Case Management Agency is a healthcare organization based in Eastport, ME. Kendall Community Case Management Agency practices in Eastport, ME. The NPI Number for Kendall Community Case Management Agency is 1558760140 and holds a License No. G9012 HI (ME). The current practice location address for Kendall Community Case Management Agency is 64 Water St, Berman Mall Suite 3, Eastport, ME 04631-1329 and can be reached out via phone at 207-853-0963 and via fax at 207-853-0694.
Provider Profile Details
- NPI Number
- 1558760140
- Provider Name
- Kendall Community Case Management Agency
- Provider Entity Type
- Organization
- Address
- 64 Water St, Berman Mall Suite 3, Eastport, ME 04631-1329
- Phone Number
- 207-853-0963
- Fax Number
- 207-853-0694
- Primary Taxonomy
- Case Management · 251B00000X
- Organization Subpart
- No
- Authorized Official
- Andrea Kendall, LSW · Owner/Administrator · 207-853-4245
- Provider Enumeration Date
- August 19, 2014
- Last Update Date
- August 19, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 64 Water St
Berman Mall Suite 3
Eastport, ME 04631-1329 - City
- Eastport
- State
- Maine
- Zip
- 04631-1329
- Phone Number
- 207-853-0963
- Fax Number
- 207-853-0694
Provider Business Mailing Address Details
- Address
- Po Box 185
Berman Mall Suite 3 64 Water St
Eastport, ME 04631-0185 - City
- Eastport
- State
- ME
- Zip
- 04631-0185
- Phone Number
- 207-853-0693
- Fax Number
- 207-853-0694
License Information
- License Number
- G9012 HI
- License State
- ME
- Taxonomy
- Case Management · 251B00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kendall Community Case Management Agency?
The NPI number of Kendall Community Case Management Agency is 1558760140. It was assigned on August 19, 2014 and is currently active in the NPPES registry.
What is the specialty of Kendall Community Case Management Agency?
Kendall Community Case Management Agency is registered under the primary taxonomy Case Management (code 251B00000X), licensed in ME under license number G9012 HI.
Where does Kendall Community Case Management Agency practice?
The practice location is 64 Water St, Berman Mall Suite 3, Eastport, ME 04631-1329. The office can be reached at 207-853-0963 (phone) or 207-853-0694 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558760140 directly on the NPPES registry website.