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NPI Code Detail

MEDICARE: ANDROSCOGGIN HOME HEALTH SERVICES, INC

MEDICARE: ANDROSCOGGIN HOME HEALTH SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WW0000XWound Care Registered Nurse
2207QG0300XGeriatric Medicine (Family Medicine) Physician
3207QH0002XHospice and Palliative Medicine (Family Medicine) Physician
4207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician
5231H00000XAudiologist
6207R00000XInternal Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000253OTHERMEANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
37377006OTHERMECIGNA
41040980OTHERMEAETNA

General Provider Information

NPI Number : 1013957687
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDROSCOGGIN HOME HEALTH SERVICES, INC
Provider Business Mailing Address
First Line : 15 STRAWBERRY AVE
Second Line :
City : LEWISTON
State : ME
Zip : 04240-5941
Country : US
Telephone Number : 207-777-7740
Fax Number : 207-777-7748
Provider Business Practice Location Address
First Line : 15 STRAWBERRY AVE
Second Line :
City : LEWISTON
State : ME
Zip : 04240-5941
Country : US
Telephone Number : 207-777-7740
Fax Number : 207-777-7748
Authorized Official
Title or Position : PRESIDENT/CEO
Name : KENNETH JOSEPH ALBERT
Credential : RN
Telephone Number : 207-795-9442
Provider Enumeration Date : 06/08/2006
Last Update Date : 07/10/2025

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Practice Fax: 207-777-7748

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