Active NPI
Professional Home Care Specialists LLC
- In Home Supportive Care Agency
- Mapleton, ME
National Provider Identifier
1306201827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.