MEDICARE: LEEMAN'S ADULT DAY CARE HOME

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	372500000X	Chore Provider
2	372600000X	Adult Companion
3	373H00000X	Day Training/Habilitation Specialist
4	374700000X	Technician
5	3747A0650X	Attendant Care Provider
6	374U00000X	Home Health Aide
7	376J00000X	Homemaker
8	3747P1801X	Personal Care Attendant	ME

General Provider Information

NPI Number	:	1134563703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEEMAN'S ADULT DAY CARE HOME

Provider Business Mailing Address
First Line	:	PO BOX 91
Second Line	:	2228 NEW VINEYARD ROAD
City	:	NEW VINEYARD
State	:	ME
Zip	:	04956-0091
Country	:	US
Telephone Number	:	207-652-2385
Fax Number	:

Provider Business Practice Location Address
First Line	:	2228 NEW VINEYARD ROAD
Second Line	:
City	:	NEW VINEYARD
State	:	ME
Zip	:	04956
Country	:	US
Telephone Number	:	207-652-2385
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM ADMINISTRATOR/OWNER
Name	:	LOIS LEEMAN
Credential	:	PSS,CRMA,LTCFL
Telephone Number	:	207-652-2385

Provider Enumeration Date	:	04/25/2013
Last Update Date	:	04/25/2013

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Directions to “LEEMAN'S ADULT DAY CARE HOME ” Practice Location

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