Healthcare Provider Details

I. General information

NPI: 1699073809
Provider Name (Legal Business Name): ACCLAIM HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2011
Last Update Date: 03/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 HILLSIDE DR
ORRINGTON ME
04474-3809
US

IV. Provider business mailing address

37 HILLSIDE DR
ORRINGTON ME
04474-3809
US

V. Phone/Fax

Practice location:
  • Phone: 207-949-7663
  • Fax:
Mailing address:
  • Phone: 207-949-7663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: ROLAND JAMES PAULETTE
Title or Position: ADMINISTRATOR
Credential:
Phone: 207-949-7663