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NPI Code Detail

MEDICARE: ANDROSCOGGIN HOME HEALTH SERVICES, INC.

MEDICARE: ANDROSCOGGIN HOME HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency
2253Z00000XIn Home Supportive Care Agency
3251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21040980OTHERMEAETNA
3000253OTHERMEANTHEM

General Provider Information

NPI Number : 1245232347
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDROSCOGGIN HOME HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 15 STRAWBERRY AVE
Second Line :
City : LEWISTON
State : ME
Zip : 04240-5941
Country : US
Telephone Number : 207-777-7740
Fax Number : 207-777-7748
Provider Business Practice Location Address
First Line : 15 STRAWBERRY AVE
Second Line :
City : LEWISTON
State : ME
Zip : 04240-5941
Country : US
Telephone Number : 207-777-7740
Fax Number : 207-777-7748
Authorized Official
Title or Position : PRESIDENT/CEO
Name : KENNETH JOSEPH ALBERT
Credential : RN
Telephone Number : 207-795-9442
Provider Enumeration Date : 06/02/2005
Last Update Date : 07/10/2025

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