Healthcare Provider Details

I. General information

NPI: 1215171616
Provider Name (Legal Business Name): CENTRAL MAINE AREA AGENCY ON AGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2009
Last Update Date: 09/26/2022
Certification Date: 09/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WESTON CT
AUGUSTA ME
04330-5543
US

IV. Provider business mailing address

1 WESTON CT STE 109
AUGUSTA ME
04330-5543
US

V. Phone/Fax

Practice location:
  • Phone: 207-623-0764
  • Fax: 207-622-7857
Mailing address:
  • Phone: 207-620-1680
  • Fax: 207-623-7857

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberALL3225
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberALL3226
License Number StateME
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberALL3278
License Number StateME
# 5
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License NumberALL3229
License Number StateME

VIII. Authorized Official

Name: ELIZABETH E CURTIS
Title or Position: CONTROLLER
Credential:
Phone: 207-620-1680