Provider Demographics
NPI:1932644325
Name:ONELOVE HOMECARE, LLC
Entity Type:Organization
Organization Name:ONELOVE HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEOPOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:NDAYISABYE
Authorized Official - Suffix:
Authorized Official - Credentials:MS CMHC
Authorized Official - Phone:207-329-8441
Mailing Address - Street 1:24 PIKE ST
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-2917
Mailing Address - Country:US
Mailing Address - Phone:207-329-8441
Mailing Address - Fax:
Practice Address - Street 1:24 PIKE STREET
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092
Practice Address - Country:US
Practice Address - Phone:207-329-8441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2163201800009253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care