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Organization Active NPI

Vna Home Health & Hospice

Doing business as Northern Light Home Care & Hospice

  • Home Health Agency
  • South Portland, ME
National Provider Identifier
1245236306
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2675 Issued in ME
Legal business name
VNA HOME HEALTH & HOSPICE
Doing business as
Northern Light Home Care & Hospice
Practice address
225 Gorham Rd Ste 200
South Portland, ME 04106-2462
Phone
(800) 757-3326
Fax
(207) 756-8676
NPI assigned
Jun 23, 2005
Last updated
Mar 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Authorized official

Name
David Kennedy
Title
VP Finance
Phone
(207) 879-3363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2675 ME Primary

Addresses

Primary practice location

225 Gorham Rd Ste 200
South Portland, ME 04106-2462

Mailing address

225 Gorham Rd Ste 200
South Portland, ME 04106-2462
Phone (800) 757-3326

Other names 1

  • Northern Light Home Care & Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20030804000012 ME Part A Provider - Home Health Agency 3072424787 Practice locations: Brewer, ME; Ellsworth, ME; Presque Isle, ME; South Portland, ME; Waterville, ME
O20170201002043 ME Part B Supplier - Mass Immunization (Roster Biller Only) 3072424787 Practice locations: South Portland, ME
O20170221001374 ME Part B Supplier - Clinic/Group Practice 3072424787 Receives reassigned benefits from 10 practitioners
Practice locations: Presque Isle, ME; South Portland, ME; Ellsworth, ME; Bangor, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245236306. Details of each certification follow.

Home health agency certification: CCN 207020

Legal name
VNA HOME HEALTH & HOSPICE
Doing business as
NORTHERN LIGHT HOME CARE & HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 3, 1967
Last certification
Feb 11, 2020
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Apr 2, 1945 in ME
Enrollment address
225 Gorham Rd
Ste 200
South Portland, ME 04106-2462
HHA Branch

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Northern Light Home Care & HospiceCCN 207020 · All quality measures
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
Feb 3, 1967
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326

118 Bennett Dr
Caribou, ME 04736
Phone (207) 498-3476

441 Main St
Ellsworth, ME 04605
Phone (207) 400-7800

2 Water St
Ste 2
Houlton, ME 04730
Phone (207) 498-2578

18 Green Hill Rd
Ste 3
Presque Isle, ME 04769
Phone (800) 767-3326

225 Gorham Rd
Ste 200
South Portland, ME 04106
Phone (207) 400-8700

225 Gorham Rd
Ste 200B
South Portland, ME 04106

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patricia a Small Individual Corporate DirectorBoard Member Oct 1, 2015
Ed Gould Individual Corporate Director Jan 1, 2019
Timothy J Dentry Individual Corporate OfficerCeo Apr 1, 2021
Corporate DirectorCeo Apr 1, 2021
Anthony John Filer Individual Corporate OfficerNLH Cfo Jun 23, 2022
Joanne Hale Individual Corporate DirectorBoard Member Oct 1, 2015
Suzanne a Moreshead Individual Corporate Officer Oct 1, 2023
Operational/Managerial Control Oct 1, 2023
Eastern Maine Healthcare Services Organization, Brewer, ME Corporation, Non-profit Other Mar 20, 2017
Ann Marie Briggs Individual Corporate DirectorBoard Member Oct 1, 2015
Leigh Ann Howard Individual Corporate OfficerVP - Clinical Excellence Oct 1, 2015
Troy Heald Individual Corporate Director Jan 1, 2020
Michael Quinlan Individual Corporate Director Jan 1, 2018

Practitioners & affiliated clinicians

Practitioners 76

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.

View all 76

Affiliated clinicians 168

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 168

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1245236306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 GORHAM RD STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062462",
            "telephone_number": "800-757-3326",
            "fax_number": "207-400-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GORHAM RD STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062462",
            "telephone_number": "800-757-3326",
            "fax_number": "207-756-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VNA HOME HEALTH & HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "207-879-3363"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ME",
            "license": "2675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Light Home Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.