Provider Demographics
NPI:1952492399
Name:WALDO COUNTY HOME HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:WALDO COUNTY HOME HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:DRINKWATER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-338-2500
Mailing Address - Street 1:125 NORTHPORT AVE
Mailing Address - Street 2:P.O. BOX 407
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6002
Mailing Address - Country:US
Mailing Address - Phone:207-338-2500
Mailing Address - Fax:207-338-9368
Practice Address - Street 1:125 NORTHPORT AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6002
Practice Address - Country:US
Practice Address - Phone:207-338-2500
Practice Address - Fax:207-338-9368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2742251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME165310000Medicaid
ME165310000Medicaid