MEDICARE: FIRSTLIGHT HOME CARE OF SCARBOROUGH

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	:	1871424390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRSTLIGHT HOME CARE OF SCARBOROUGH

Provider Business Mailing Address
First Line	:	27 GORHAM RD STE 228
Second Line	:
City	:	SCARBOROUGH
State	:	ME
Zip	:	04074-8388
Country	:	US
Telephone Number	:	412-779-8920
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 GORHAM RD STE 228
Second Line	:
City	:	SCARBOROUGH
State	:	ME
Zip	:	04074-8388
Country	:	US
Telephone Number	:	412-779-8920
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANNA E KRAKORA
Credential	:
Telephone Number	:	412-779-8920

Provider Enumeration Date	:	05/25/2026
Last Update Date	:	05/25/2026

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