MEDICARE: GOOD HANDS HOME CARE, LLC

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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1356902993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD HANDS HOME CARE, LLC

Provider Business Mailing Address
First Line	:	169 OCEAN ST STE 201
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-3636
Country	:	US
Telephone Number	:	207-239-8352
Fax Number	:

Provider Business Practice Location Address
First Line	:	169 OCEAN ST STE 201
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-3636
Country	:	US
Telephone Number	:	207-239-8352
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/ADMINISTRATOR
Name	:	MUSFAFA KADHIM
Credential	:
Telephone Number	:	207-239-8352

Provider Enumeration Date	:	06/25/2019
Last Update Date	:	03/02/2025

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