Organization Active NPI

Devoted Supports of Maine

  • In Home Supportive Care Agency
  • Bangor, ME
National Provider Identifier
1104201938
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DEVOTED SUPPORTS OF MAINE
Practice address
304 Hancock St Ste 1E
Bangor, ME 04401-6573
Phone
(207) 992-9587
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Authorized official

Name
John Michael Jones, MBA
Title
Owner
Phone
(207) 299-7677

Specialties & licenses 1

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

Addresses

Primary practice location

304 Hancock St Ste 1E
Bangor, ME 04401-6573

Mailing address

304 Hancock St Ste 1E
Bangor, ME 04401-6573
Phone (207) 992-9587

National Provider Directory

National Provider Directory

Locations

304 Hancock St
Ste 1E
Bangor, ME 04401
Phone (207) 992-9587

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1104201938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 HANCOCK ST STE 1E",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016573",
            "telephone_number": "207-992-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 HANCOCK ST STE 1E",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016573",
            "telephone_number": "207-992-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED SUPPORTS OF MAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-299-7677",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.