Eastern Maine Homecare
Organization Active NPI Home Health Agency · Bangor, ME
NPI 1164475281 · NPPES record last updated Dec 3, 2013
Key facts
- NPI
- 1164475281
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 02768 (ME)
- Legal business name
- EASTERN MAINE HOMECARE
- Practice address
- 885 Union St
Suite 220
Bangor, ME 04401-3083 - Phone
- (207) 973-6550
- Fax
- (207) 973-6556
- NPI assigned
- May 18, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- EASTERN MAIN HOMECARE
Authorized official
- Name
- Sylvia A Soucy
- Title
- Billing Manager
- Phone
- (207) 498-2578
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Vna Home Health Hospice
- Part of
- Eastern Maine Homecare
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 02768 | ME | Yes |
Addresses
Primary practice location
885 Union St
Suite 220
Bangor, ME 04401-3083
Mailing address
885 Union St
Suite 220
Bangor, ME 04401-3083
Phone (207) 973-6550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101740000 | Medicaid | ME |
Other names
- BANGOR AREA VISITING NURSES
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.