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W114 KIMGSBURY RD
NPI 1508932898
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bangor, ME

Active since November 28, 2006
262 HARLOW ST, BANGOR, ME 04401(207) 973-3500 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2018, Dec 5, 2018 (2 updates tracked since 2018).

About W114 Kimgsbury Rd NPPES

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

W114 KIMGSBURY RD (NPI 1508932898) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Bangor, Maine and active in the NPI registry since November 2006. The organization lists Kara Hay, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508932898
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePENQUIS C.A.P., INC.
Location Address262 HARLOW STBangor, ME 04401-4952
Mailing AddressPo Box 1162Bangor, ME 04402-1162 · (207) 973-3500
Phone(207) 973-3500
Organization SubpartNo
Authorized OfficialKara HayCeo · (207) 973-3500
Enumeration DateNovember 28, 2006
Last NPPES UpdateDecember 10, 20182 updates tracked since enumeration
✔ NPI 1508932898 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.
262 HARLOW ST, Bangor, ME 04401
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Other Names 1

Other NameW114 Kimgsbury Rd

Other Identifiers 1

Medicaid164840603ME

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PENQUIS CAP, INC.
Clinic/Center
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3500
PENQUIS C.A.P., INC.
Custodial Care Facility
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3500
PENQUIS C.A.P., INC.
Case Management
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3500
PENQUIS C.A.P., INC.
Home Health
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3500
PENQUIS C.A.P., INC.
Community/Behavioral Health
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3500
PENQUIS C.A.P., INC.
Day Training, Developmentally Disabled Services
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3500
PENQUIS C.A.P., INC.
Community Based Residential Treatment Facility, Mental Illness
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3500
CAROL A KNICKERBOCKER WHCNP
Nurse Practitioner (Women's Health)
262 HARLOW ST
BANGOR, ME 04401
Penobscot County (207) 973-3656

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 Penquis C.A.P., Inc.'s NPI number?

The NPI number for Penquis C.A.P., Inc. is 1508932898. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is also known as W114 Kimgsbury Rd.

Where is Penquis C.A.P., Inc. located?

Penquis C.A.P., Inc. is located at 262 Harlow St, Bangor, ME 04401. The listed phone number is (207) 973-3500.

What is Penquis C.A.P., Inc.'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 Penquis C.A.P., Inc. was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.