=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689471906
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMANA CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/25/2025
-----------------------------------------------------
Last Update Date | 02/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 168 LISBON ST STE 3
-----------------------------------------------------
City | LEWISTON
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04240
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-401-4349
-----------------------------------------------------
Fax | 207-430-9335
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 55
-----------------------------------------------------
City | LEWISTON
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04243-0055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-409-4349
-----------------------------------------------------
Fax | 207-430-9335
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | AHMED A SHEIKH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 207-344-5405
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0850X
-----------------------------------------------------
Taxonomy Name | Adult Mental Health Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------