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KIMBERLY IVERNE RODRIGUEZ CRMA
NPI 1386878346
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Patten, ME

Active since May 06, 2009
52 GARDINER STREET, PATTEN, ME 04765(207) 528-2203 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Iverne Rodriguez Crma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY IVERNE RODRIGUEZ CRMA (NPI 1386878346) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Patten, Maine and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1386878346
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameKIMBERLY IVERNE RODRIGUEZCredential: CRMA
Location Address52 GARDINER STREETPatten, ME 04765
Mailing AddressPo Box 226Patten, ME 04765-0226 · (207) 528-2203
Phone(207) 528-2203
Sole ProprietorYes
Enumeration DateMay 6, 2009
✔ NPI 1386878346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
52 GARDINER STREET, Patten, ME 04765
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Other Identifiers 1

Medicaid202450000ME

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Rodriguez's NPI number?

The NPI number for Kimberly Rodriguez is 1386878346. It was assigned to this individual provider in the NPPES registry on May 6, 2009.

Where is Kimberly Rodriguez located?

Kimberly Rodriguez practices at 52 Gardiner Street, Patten, ME 04765. The listed phone number is (207) 528-2203.

What is Kimberly Rodriguez's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Kimberly Rodriguez was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.