Angel in Home Senior Care

Organization Active NPI In Home Supportive Care Agency · South Portland, ME

NPI 1023614237 · NPPES record last updated Oct 17, 2023

Key facts

NPI
1023614237
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
ANGEL IN HOME SENIOR CARE
Practice address
724 Sawyer St
South Portland, ME 04106-4619
Phone
(207) 846-8722
NPI assigned
Dec 11, 2020
Organization subpart
No

Authorized official

Name
Mary Connolly
Title
Owner
Phone
(207) 846-8722

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Yes

Addresses

Primary practice location

724 Sawyer St
South Portland, ME 04106-4619

Mailing address

724 Sawyer St
South Portland, ME 04106-4619

Other identifiers

IdentifierTypeStateIssuer
1477044238OtherMEOPTUM

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL PORTLAND Direct

Other providers in South Portland, ME

All providers in South Portland, ME · In Home Supportive Care Agency in Maine

Sources for this page

Verify at the official NPI Registry.