Provider Demographics
NPI:1164556213
Name:NEW ENGLAND LIFE CARE, INC.
Entity Type:Organization
Organization Name:NEW ENGLAND LIFE CARE, INC.
Other - Org Name:ME LOCATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLAGHER
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:781-932-4347
Mailing Address - Street 1:45 CENTER ST STE A
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-6503
Mailing Address - Country:US
Mailing Address - Phone:207-699-1825
Mailing Address - Fax:207-321-6353
Practice Address - Street 1:45 CENTER ST STE A
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-6503
Practice Address - Country:US
Practice Address - Phone:800-439-7969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME165710000Medicaid
ME2005367Medicaid
ME002251OtherANTHEM ME