MEDICARE: MBO 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	347C00000X	Private Vehicle
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1427902972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MBO CARE LLC

Provider Business Mailing Address
First Line	:	169 OCEAN ST STE 101
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-3636
Country	:	US
Telephone Number	:	207-815-6799
Fax Number	:

Provider Business Practice Location Address
First Line	:	169 OCEAN ST STE 101
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-3636
Country	:	US
Telephone Number	:	207-815-6799
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID MULIMA
Credential	:
Telephone Number	:	207-815-6799

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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