Homecare by Paulett

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

NONE Issued in ME

Legal business name

HOMECARE BY PAULETT

Practice address

696 Westbrook St
Apt 3I
South Portland, ME 04106-1957

Phone

(134) 766-8612

NPI assigned

Mar 25, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Andre Wayne Forrester

Title

Ceo

Phone

(347) 668-6122

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1144529421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 WESTBROOK ST",
            "address_2": "APT 3I",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "134-766-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 WESTBROOK ST",
            "address_2": "APT 3I",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061957",
            "telephone_number": "134-766-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE BY PAULETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "FORRESTER",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-668-6122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "ME",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.