Provider Demographics
NPI:1114576980
Name:MAPLE MARSH HOME CARE INC
Entity Type:Organization
Organization Name:MAPLE MARSH HOME CARE INC
Other - Org Name:NIGHTINGALE IN-HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN BUSKIRK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-691-3531
Mailing Address - Street 1:365 CUSHING RD
Mailing Address - Street 2:
Mailing Address - City:CUSHING
Mailing Address - State:ME
Mailing Address - Zip Code:04563-3118
Mailing Address - Country:US
Mailing Address - Phone:207-354-5429
Mailing Address - Fax:
Practice Address - Street 1:365 CUSHING RD
Practice Address - Street 2:
Practice Address - City:CUSHING
Practice Address - State:ME
Practice Address - Zip Code:04563-3118
Practice Address - Country:US
Practice Address - Phone:207-354-5429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care