Provider Demographics
NPI:1043908718
Name:MAXIMUM CARE OF MAINE LLC
Entity Type:Organization
Organization Name:MAXIMUM CARE OF MAINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:TSHITENDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-332-2215
Mailing Address - Street 1:246 AUBURN ST APT 51246
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-2176
Mailing Address - Country:US
Mailing Address - Phone:207-332-2215
Mailing Address - Fax:
Practice Address - Street 1:246 AUBURN ST APT 51246
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-2176
Practice Address - Country:US
Practice Address - Phone:207-332-2215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health