Provider Demographics
NPI:1780638791
Name:EASTERN MAINE HOMECARE
Entity Type:Organization
Organization Name:EASTERN MAINE HOMECARE
Other - Org Name:AROOSTOOK VISITING NURSES
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:PO BOX 688
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-0688
Mailing Address - Country:US
Mailing Address - Phone:207-498-2578
Mailing Address - Fax:207-498-2570
Practice Address - Street 1:14 ACCESS HWY
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-3806
Practice Address - Country:US
Practice Address - Phone:207-498-2578
Practice Address - Fax:207-498-2570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2718251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME13281000OtherLTC PROVIDER #