Organization Active NPI

Professional Home Care Specialists LLC

  • In Home Supportive Care Agency
  • Mapleton, ME
National Provider Identifier
1306201827
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PROFESSIONAL HOME CARE SPECIALISTS LLC
Practice address
1086 Mapleton Rd
Mapleton, ME 04757-4508
Phone
(207) 764-3866
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Mr. Randolph S Michaud
Title
Financial Officer
Phone
(207) 764-3866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1086 Mapleton Rd
Mapleton, ME 04757-4508

Mailing address

1086 Mapleton Rd
Mapleton, ME 04757-4508
Phone (207) 764-3866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1306201827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 MAPLETON RD",
            "city": "MAPLETON",
            "state": "ME",
            "postal_code": "047574508",
            "telephone_number": "207-764-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 MAPLETON RD",
            "city": "MAPLETON",
            "state": "ME",
            "postal_code": "047574508",
            "telephone_number": "207-764-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "MICHAUD",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "207-764-3866",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mapleton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.