NPI Code Details Logo

NPI 1376514224

NPI 1376514224 : MAINEHEALTH CARE AT HOME : ROCKPORT, ME

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376514224
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MAINEHEALTH CARE AT HOME 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/30/2006
-----------------------------------------------------
    Last Update Date     |    10/14/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    815 COMMERCIAL ST UNIT 6 
-----------------------------------------------------
    City                 |    ROCKPORT
-----------------------------------------------------
    State                |    ME
-----------------------------------------------------
    Zip                  |    04856-4243
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    207-284-4566
-----------------------------------------------------
    Fax                  |    207-282-4769
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    15 INDUSTRIAL PARK RD 
-----------------------------------------------------
    City                 |    SACO
-----------------------------------------------------
    State                |    ME
-----------------------------------------------------
    Zip                  |    04072-1804
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    207-391-6424
-----------------------------------------------------
    Fax                  |    207-282-4769
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT HOME HEALTH & HOSPICE SVC
-----------------------------------------------------
    Name                 |    MRS. PATRICIA  APRILE 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    207-391-6421
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    2684
-----------------------------------------------------
    License Number State |    ME
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251G00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Based Hospice Care Agency
-----------------------------------------------------
    License Number       |    36052
-----------------------------------------------------
    License Number State |    ME
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.