MEDICARE: DOH 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	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1942138862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOH HOME CARE LLC

Provider Business Mailing Address
First Line	:	2578 HOTEL RD APT 1
Second Line	:
City	:	AUBURN
State	:	ME
Zip	:	04210-9081
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2578 HOTEL RD APT 1
Second Line	:
City	:	AUBURN
State	:	ME
Zip	:	04210-9081
Country	:	US
Telephone Number	:	207-747-7062
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL T GALLANT
Credential	:	GALLANT
Telephone Number	:	207-747-7062

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “DOH HOME CARE LLC ” Practice Location

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