Active NPI
Careco LLC
- Home Health Agency
- Portland, ME
National Provider Identifier
1265250690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- CARECO LLC
- Practice address
- 203 Anderson St # 2-12
Portland, ME 04101-2596 - Phone
- (651) 336-9046
- NPI assigned
- Oct 3, 2024
- Last updated
- Oct 3, 2024
- 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
- Munya Muhidin Bana
- Title
- President
- Phone
- (651) 336-9046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
203 Anderson St # 2-12
Portland, ME 04101-2596
Mailing address
2411 E Franklin Ave
Minneapolis, MN 55406-1026
National Provider Directory
National Provider DirectoryLocations
203 Anderson St
#212
Portland, ME 04101
Phone (651) 336-9046
2411 E Franklin Ave
Minneapolis, MN 55406
Phone (612) 333-6647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1265250690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2411 E FRANKLIN AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 ANDERSON ST # 2-12",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012596",
"telephone_number": "651-336-9046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARECO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-03",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A",
"authorized_official_last_name": "BANA",
"authorized_official_first_name": "MUNYA",
"authorized_official_middle_name": "MUHIDIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "651-336-9046"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.