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Contact Information

KENNEBUNK OPERATIONS, LLC
3 BRAZIER LANE
KENNEBUNK, ME04043-6924
 Phone: 207-985-3030
 Fax: 207-985-6428
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for KENNEBUNK OPERATIONS, LLC

NPI # 1508928995
LBN Legal business name KENNEBUNK OPERATIONS, LLC
Authorized official MICHAEL BERG - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2006
Last updated 01/22/2024 - About 2 years ago
Identifiers
ME License # 1906
ME Medicaid 432469800
ME Medicaid 432469801
ME Medicaid 432469900
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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