Healthcare Provider Details

I. General information

NPI: 1558303776
Provider Name (Legal Business Name): ANDROSCOGGIN HOME HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 STRAWBERRY AVE
LEWISTON ME
04240-5941
US

IV. Provider business mailing address

15 STRAWBERRY AVE
LEWISTON ME
04240-5941
US

V. Phone/Fax

Practice location:
  • Phone: 207-777-7740
  • Fax: 207-777-7748
Mailing address:
  • Phone: 207-777-7740
  • Fax: 207-777-7748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KENNETH JOSEPH ALBERT
Title or Position: PRESIDENT/CEO
Credential: RN
Phone: 207-795-9442