MRS. ROSA LEE KENNEDY NPI 1881829232

NPI Information

  • NPI: 1881829232
  • Provider Name: MRS. ROSA LEE KENNEDY
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Individual
  • Address: 375 OAKFIELD SMYRNA RD
    OAKFIELD, ME
    ZIP 04763
  • Phone: (207) 757-8796

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NPI Details

MRS. Rosa Lee Kennedy is a community based residential treatment facility, intellectual and/or developmental disabilities in Oakfield, ME. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MRS. Rosa Lee Kennedy NPI is 1881829232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

375 OAKFIELD SMYRNA RD
OAKFIELD, ME
ZIP 04763-033
Phone: (207) 757-8796

The enumeration date for this NPI number is 5/28/2009 and was last updated on 5/28/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
143279700MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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