Justin Ryan Elliott
Individual provider Active NPI In Home Supportive Care Agency · Bucksport, ME
NPI 1194485474 · NPPES record last updated Dec 28, 2021
Key facts
- NPI
- 1194485474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Practice address
- 597 Millvale Road
Bucksport, ME 04416 - Phone
- (207) 951-4915
- NPI assigned
- Dec 28, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | ME | Yes |
Addresses
Primary practice location
597 Millvale Road
Bucksport, ME 04416
Mailing address
597 Millvale Road
Bucksport, ME 04416
Phone (207) 951-4915
Other providers in Bucksport, ME
- Denise M. Daniel
- Kathleen Denis
- Bonnie G Dubay-Brennan
- Emma K Duvefelt
- Kenneth Eaton Jr.
- Ellsworth Bucksport Dental Associates
- Foundation Dental, LLC
- Thomas Joseph Gaffney
- R Maxwell Goode
- GPC,LLC
All providers in Bucksport, ME · In Home Supportive Care Agency in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2021. 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.