Jeremy Baker

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JEREMY BAKER

Practice address

368 Passaconaway Road
Waterford, ME 04088

Phone

(207) 583-4321

NPI assigned

Jul 1, 2009

Last updated

Jul 1, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Baker

Title

Owner

Phone

(207) 583-4321

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1255569935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "WATERFORD",
            "state": "ME",
            "postal_code": "040880207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 PASSACONAWAY ROAD",
            "city": "WATERFORD",
            "state": "ME",
            "postal_code": "04088",
            "telephone_number": "207-583-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY BAKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-583-4321"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Sue Churchill, CLD,CBC,CD
• Elaine M Kimball, LCSW
• David Lefler, R.T.(R)(ARRT)
• Brooke Murch, PA
• Bonnie Joan Sendzicki, DO

• In Home Supportive Care Agency in Waterford, ME
• Providers in Waterford, 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 1, 2009; 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.