Provider Demographics
NPI:1609577519
Name:SEA SIDE SENIOR CARE, LLC
Entity Type:Organization
Organization Name:SEA SIDE SENIOR CARE, LLC
Other - Org Name:HOME INSTEAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:GIOVANNANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-467-5944
Mailing Address - Street 1:71 POST ROAD
Mailing Address - Street 2:
Mailing Address - City:WELLS
Mailing Address - State:ME
Mailing Address - Zip Code:04090
Mailing Address - Country:US
Mailing Address - Phone:207-641-1155
Mailing Address - Fax:
Practice Address - Street 1:71 POST ROAD
Practice Address - Street 2:
Practice Address - City:WELLS
Practice Address - State:ME
Practice Address - Zip Code:04090
Practice Address - Country:US
Practice Address - Phone:207-641-1155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty