Provider Demographics
NPI:1497519755
Name:MAINE SENIOR SAFE CARE LLC
Entity Type:Organization
Organization Name:MAINE SENIOR SAFE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FILIPE
Authorized Official - Middle Name:KEMBONZA
Authorized Official - Last Name:LEMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-405-9918
Mailing Address - Street 1:2 CHURCH ST SUITE 1
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092
Mailing Address - Country:US
Mailing Address - Phone:207-405-9918
Mailing Address - Fax:
Practice Address - Street 1:2 CHURCH ST SUITE 1
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092
Practice Address - Country:US
Practice Address - Phone:207-405-9918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care