=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073466629
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CONNECTED CARE HOME OF MAINE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/16/2026
-----------------------------------------------------
Last Update Date | 02/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 CANAL PLZ FL 9
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04101-4098
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-757-5117
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 CAINS RD
-----------------------------------------------------
City | SUFFERN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10901-1739
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 845-664-0755
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | BINYAMIN ITZKOWITZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 917-757-5117
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------