Provider Demographics
NPI:1396154282
Name:PIECE OF MIND ELDER CARE
Entity type:Organization
Organization Name:PIECE OF MIND ELDER CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:A
Authorized Official - Last Name:REILLY
Authorized Official - Suffix:
Authorized Official - Credentials:CRMA
Authorized Official - Phone:207-485-4890
Mailing Address - Street 1:127 CAIN HL
Mailing Address - Street 2:
Mailing Address - City:PALERMO
Mailing Address - State:ME
Mailing Address - Zip Code:04354-7017
Mailing Address - Country:US
Mailing Address - Phone:207-485-4890
Mailing Address - Fax:
Practice Address - Street 1:127 CAIN HL
Practice Address - Street 2:
Practice Address - City:PALERMO
Practice Address - State:ME
Practice Address - Zip Code:04354-7017
Practice Address - Country:US
Practice Address - Phone:207-485-4890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251E00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health