Provider Demographics
NPI:1477329084
Name:ALEM HOME CARE LLC
Entity Type:Organization
Organization Name:ALEM HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HELLEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DESSALEGN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-387-1779
Mailing Address - Street 1:5414 JASLIE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-2650
Mailing Address - Country:US
Mailing Address - Phone:207-387-1779
Mailing Address - Fax:
Practice Address - Street 1:48 FRONT ST # 303
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530-2524
Practice Address - Country:US
Practice Address - Phone:207-387-1779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care