Active NPI
Luna Home Care
- Home Health Agency
- Portland, ME
National Provider Identifier
1023593381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- LUNA HOME CARE
- Practice address
- 640 Brighton Ave Ste 7
Portland, ME 04102-1047 - Phone
- (207) 450-5359
- NPI assigned
- Oct 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abbas Ahmed
- Title
- Owner
- Phone
- (617) 331-8732
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
640 Brighton Ave Ste 7
Portland, ME 04102-1047
Mailing address
640 Brighton Ave Ste 7
Portland, ME 04102-1047
Other names 1
- Southern Maine Home Health Care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Aide
- Portland, ME
- NPI 1629553334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629158400000",
"number": "1023593381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 BRIGHTON AVE STE 7",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041021047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 BRIGHTON AVE STE 7",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041021047",
"telephone_number": "207-450-5359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNA HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-02",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "ABBAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-331-8732"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Maine Home Health Care",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.