NPI Code Details Logo

NPI 1629960737

NPI 1629960737 : ENTYRE CARE MAINE LLC : YORK, ME

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1629960737
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ENTYRE CARE MAINE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/15/2025
-----------------------------------------------------
    Last Update Date     |    07/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    439 US ROUTE 1 STE A 
-----------------------------------------------------
    City                 |    YORK
-----------------------------------------------------
    State                |    ME
-----------------------------------------------------
    Zip                  |    03909-1638
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    617-320-2253
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    439 US ROUTE 1 STE A 
-----------------------------------------------------
    City                 |    YORK
-----------------------------------------------------
    State                |    ME
-----------------------------------------------------
    Zip                  |    03909-1638
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF OPERATING OFFICER
-----------------------------------------------------
    Name                 |    MR. BENEDIKT  REIGER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    617-314-4100
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.