Provider Demographics
NPI:1922116995
Name:CALAIS HOME CARE INC
Entity Type:Organization
Organization Name:CALAIS HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:GILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:207-454-3030
Mailing Address - Street 1:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:CALAIS
Mailing Address - State:ME
Mailing Address - Zip Code:04619-0273
Mailing Address - Country:US
Mailing Address - Phone:207-454-3030
Mailing Address - Fax:207-454-0583
Practice Address - Street 1:73 NORTH ST
Practice Address - Street 2:
Practice Address - City:CALAIS
Practice Address - State:ME
Practice Address - Zip Code:04619-1607
Practice Address - Country:US
Practice Address - Phone:207-454-3030
Practice Address - Fax:207-454-0583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1024314332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1111220001Medicare ID - Type UnspecifiedPROVIDER NUMER