Provider Demographics
NPI:1275510844
Name:MAINEHEALTH CARE AT HOME
Entity Type:Organization
Organization Name:MAINEHEALTH CARE AT HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT HOME HEALTH & HOSPICE SVC
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:APRILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-391-6421
Mailing Address - Street 1:15 INDUSTRIAL PARK RD
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-1804
Mailing Address - Country:US
Mailing Address - Phone:207-284-4566
Mailing Address - Fax:207-282-4769
Practice Address - Street 1:15 INDUSTRIAL PARK RD
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-1804
Practice Address - Country:US
Practice Address - Phone:207-284-4566
Practice Address - Fax:207-282-4769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2693251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME403670000Medicaid
ME207000Medicare PIN