Mandi Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MANDI HOME CARE LLC

Practice address

265 Lisbon St Unit 2-2
Lewiston, ME 04240-7704

Phone

(612) 598-6177

NPI assigned

Sep 7, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abdirahman Abdirisak

Title

Owner

Phone

(612) 598-6177

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1033995790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 LISBON ST UNIT 2-2",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407704",
            "telephone_number": "612-598-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 LISBON ST UNIT 2-2",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407704",
            "telephone_number": "612-598-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDI HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "ABDIRISAK",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-598-6177"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Manuel Sangalang

• In Home Supportive Care Agency in Lewiston, ME
• Providers in Lewiston, ME by specialty
• In Home Supportive Care Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.