Provider Demographics
NPI:1619920071
Name:EASTERN MAINE HOMECARE
Entity Type:Organization
Organization Name:EASTERN MAINE HOMECARE
Other - Org Name:SEBASTICOOK VALLEY HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOUCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-498-2578
Mailing Address - Street 1:49 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04967-1528
Mailing Address - Country:US
Mailing Address - Phone:207-487-3726
Mailing Address - Fax:207-487-5740
Practice Address - Street 1:49 MAIN ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:ME
Practice Address - Zip Code:04967-1528
Practice Address - Country:US
Practice Address - Phone:207-487-3726
Practice Address - Fax:207-487-5740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME02711251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME207072Medicare ID - Type UnspecifiedMEDICARE PROVIDER #