Healthcare Provider Details

I. General information

NPI: 1083249015
Provider Name (Legal Business Name): CONSTELLATION HOME CARE ME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2020
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 STATE ST STE 5
AUGUSTA ME
04330-7149
US

IV. Provider business mailing address

14 WESTPORT AVE
NORWALK CT
06851-3915
US

V. Phone/Fax

Practice location:
  • Phone: 207-370-6470
  • Fax: 978-319-4019
Mailing address:
  • Phone: 207-370-6470
  • Fax: 978-319-4019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YITZCHOK STEG
Title or Position: CEO/AUTHORIZED OFFICIAL
Credential:
Phone: 888-895-7695