The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1376514224 |
NPI Entity Type | Organization |
Provider Name |
Mainehealth Care At Home
Former Legal Business Name |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Certification Date | September 30, 2009 |
Provider Location Address | 170 Pleasant St., Rockland, ME, US |
Provider Mailing Address | 170 Pleasant St., Rockland, ME, US, 048412119 |
Gender | Male |
Is Sole Proprietor? | No |
Official Name | MR. Randee Reynolds |
Official Position | INTERIM PRESIDENT |
Phone | 207-844-0375 |
Taxonomy Code | |
Taxonomy Name | Home Health Agency |
Classification | |
Group | |
License No. | 2684 |
License State | ME |
Description | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
36052 | ME | No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
107470001 | ME | MEDICAID | 05 |
000058 | ME | BCBS PROVIDER NUMBER | 01 |
107470000 | ME | MEDICAID | 05 |
Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
---|---|---|---|---|---|---|
CONNECT | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | 2.16.840.1.113883.3.1068.1 | OTHER | Yes | 2720 Dundee Rd # 302, Northbrook, IL, US |
NPI | Name | Taxonomy | Address |
---|---|---|---|
RDH IPDH Brittany Rita Hubert Individual |
6 E Chestnut St |
||
Metanoia Compassionate Care Llc Organization |
10 Columbia St Unit 2 |
||
Mainegeneral Medical Center Organization |
121 Medical Center Dr |
||
LMT, MLD-C Merissa Mertaugh Individual |
690 Stroudwater St |
||
LCPC Emma Georgene Swift Individual |
235 Center St |
||
FNP-C Catherine Rasco-robinson Individual |
506 Main St |
||
LCPC-C Patricia Marie Mclain Individual |
Student in an Organized Health Care Education/Training Program |
1012 Union St |
|
RDH Rebecca Lynn Hanscom Individual |
15 Oak St |
||
Autumn Marie Walsh Individual |
2 Lehner Rd |
||
COTA/L Madeline Conrad Smith Individual |
170 Route 1 Ste 100 |
||
DR. M.D. Rene Adonis Seegobin Individual |
133 Corporate Dr |
||
Patrick Fahey Individual |
2 Southside Rd |
||
Kathryn Goffin Individual |
123 Andover Rd |
||
DO Rachel Coffey Individual |
22 Bramhall St |
||
DO Rebecca Patterson Individual |
331 Veranda St |
||
Jason Mudge Individual |
22 Bramhall St |
||
Hospice Of Maine, Llc Organization |
824 Stillwater Ave Ste B |
||
Great Bay Services Organization |
61 Washington St Ste 4 |
||
Affinity Care Of Maine Llc Organization |
600 Southborough Dr Ste 103 |
||
Antonio Home Care Llc Organization |
70 Webster St |
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