Healthcare Provider Details

I. General information

NPI: 1689471906
Provider Name (Legal Business Name): AMANA CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 LISBON ST STE 3
LEWISTON ME
04240
US

IV. Provider business mailing address

PO BOX 55
LEWISTON ME
04243-0055
US

V. Phone/Fax

Practice location:
  • Phone: 207-401-4349
  • Fax: 207-430-9335
Mailing address:
  • Phone: 207-409-4349
  • Fax: 207-430-9335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: AHMED A SHEIKH
Title or Position: CEO
Credential:
Phone: 207-344-5405