Provider Demographics
NPI:1932333812
Name:DECENT HOME CARE, INC.
Entity Type:Organization
Organization Name:DECENT HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHDI
Authorized Official - Middle Name:MOHAMUD
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-783-8658
Mailing Address - Street 1:145 LISBON ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7235
Mailing Address - Country:US
Mailing Address - Phone:207-783-8658
Mailing Address - Fax:207-376-3854
Practice Address - Street 1:145 LISBON ST
Practice Address - Street 2:SUITE 405
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7235
Practice Address - Country:US
Practice Address - Phone:207-783-8658
Practice Address - Fax:207-376-3854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
ME253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health