Active NPI
Blue Haven Services LLC
- In Home Supportive Care Agency
- Portland, ME
National Provider Identifier
1184413312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- BLUE HAVEN SERVICES LLC
- Practice address
- 411 Congress St Ste 301G
Portland, ME 04101-3505 - Phone
- (207) 888-4081
- NPI assigned
- May 5, 2025
- Last updated
- May 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zaki Ahmed
- Title
- Owner
- Phone
- (207) 888-4081
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
411 Congress St Ste 301G
Portland, ME 04101-3505
Mailing address
1686 Village TRL E Unit 2
Maplewood, MN 55109-5830
Phone (207) 888-4081
Other names 1
- Mainecare Companions LLC
National Provider Directory
National Provider DirectoryLocations
411 Congress St
Ste 301G
Portland, ME 04101
Phone (207) 888-4081
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Technician
- Oakdale, MN
- NPI 1699409425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746403200000",
"number": "1184413312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1686 VILLAGE TRL E UNIT 2",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551095830",
"telephone_number": "207-888-4081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 CONGRESS ST STE 301G",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013505",
"telephone_number": "207-888-4081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE HAVEN SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-05",
"last_updated": "2025-05-05",
"certification_date": "2025-05-04",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "ZAKI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-888-4081"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mainecare Companions LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.