MEDICARE: DECENT HEALTH 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1548738024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DECENT HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	41 CATHEDRAL OAKS DR
Second Line	:
City	:	BIDDEFORD
State	:	ME
Zip	:	04005-9360
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	179 MOUNT VERNON AVE STE 5
Second Line	:
City	:	AUGUSTA
State	:	ME
Zip	:	04330-4233
Country	:	US
Telephone Number	:	207-807-9115
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	MR. FAYSAL KALAYAF MANAHE
Credential	:
Telephone Number	:	207-807-9115

Provider Enumeration Date	:	11/02/2018
Last Update Date	:	03/06/2024

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Directions to “DECENT HEALTH CARE LLC ” Practice Location

Language	Start Address	Practice Location

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