Provider Demographics
NPI:1225469737
Name:LEEMAN'S PERSONAL CARE AGENCY
Entity Type:Organization
Organization Name:LEEMAN'S PERSONAL CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSS,CRMA,MHSS,LTCFL
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSS, CRMA, MHSS
Authorized Official - Phone:207-650-7793
Mailing Address - Street 1:PO BOX 91
Mailing Address - Street 2:
Mailing Address - City:NEW VINEYARD
Mailing Address - State:ME
Mailing Address - Zip Code:04956-0091
Mailing Address - Country:US
Mailing Address - Phone:207-650-7793
Mailing Address - Fax:
Practice Address - Street 1:2228 NEW VINEYARD RD
Practice Address - Street 2:
Practice Address - City:NEW VINEYARD
Practice Address - State:ME
Practice Address - Zip Code:04956-0091
Practice Address - Country:US
Practice Address - Phone:207-650-7793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME372500000X, 372600000X, 374700000X, 3747A0650X, 3747P1801X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374700000XNursing Service Related ProvidersTechnicianGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty