Provider Demographics
NPI:1114521499
Name:VILLAGE HOMECARE LLC
Entity Type:Organization
Organization Name:VILLAGE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:ALAIMO
Authorized Official - Suffix:
Authorized Official - Credentials:MULTILEVEL L HCA
Authorized Official - Phone:603-918-7807
Mailing Address - Street 1:PO BOX 600
Mailing Address - Street 2:
Mailing Address - City:CASCO
Mailing Address - State:ME
Mailing Address - Zip Code:04015-0600
Mailing Address - Country:US
Mailing Address - Phone:207-627-7111
Mailing Address - Fax:207-708-8182
Practice Address - Street 1:960 MEADOW RD
Practice Address - Street 2:
Practice Address - City:CASCO
Practice Address - State:ME
Practice Address - Zip Code:04015-3316
Practice Address - Country:US
Practice Address - Phone:207-627-7111
Practice Address - Fax:207-708-8182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-26
Last Update Date:2020-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health