Embark Place LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EMBARK PLACE LLC

Practice address

268 State Street
2-7
Bangor, ME 04401-5417

Phone

(207) 806-2021

NPI assigned

Jul 12, 2023

Organization subpart

No

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

Authorized official

Name

Abdalla A Ali

Title

Co-Owner

Phone

(612) 630-3060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1205515871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 STATE STREET",
            "address_2": "2-7",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015417",
            "telephone_number": "207-806-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 STATE STREET",
            "address_2": "2-7",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015417",
            "telephone_number": "207-806-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBARK PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ABDALLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-630-3060"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie J Ellis
• Carolyn Ellis, DO
• Joan J Ellis
• Lee A Ellis, RN
• Chelsea Elston, CADC
• Amanda Leigh Emerson, AU.D.
• Dayna Emerson, RD, CDE
• Kendra Emery, D.O.
• Rik Stephen Emery, DO
• Ruth Sickel Emmett, LCSW

• In Home Supportive Care Agency in Bangor, ME
• Providers in Bangor, ME by specialty
• In Home Supportive Care Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.