Provider Demographics
NPI:1790863199
Name:AROOSTOOK HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:AROOSTOOK HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SLEEPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-492-8290
Mailing Address - Street 1:22 BIRDSEYE AVENUE
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736
Mailing Address - Country:US
Mailing Address - Phone:207-492-8290
Mailing Address - Fax:207-492-8245
Practice Address - Street 1:22 BIRDSEYE AVENUE
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736
Practice Address - Country:US
Practice Address - Phone:207-492-8290
Practice Address - Fax:207-492-8245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2771251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEARO001AOtherEIM