Provider Demographics
NPI:1265975932
Name:OCEAN HOME CARE LLC
Entity type:Organization
Organization Name:OCEAN HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AMMAR
Authorized Official - Middle Name:T
Authorized Official - Last Name:KINANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-252-9823
Mailing Address - Street 1:68 BISHOP ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-2681
Mailing Address - Country:US
Mailing Address - Phone:207-252-9823
Mailing Address - Fax:
Practice Address - Street 1:68 BISHOP ST STE 2
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-2681
Practice Address - Country:US
Practice Address - Phone:207-252-9823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty