Bluestone Home Care LLC

Organization Active NPI In Home Supportive Care Agency · Auburn, ME

NPI 1306646435 · NPPES record last updated Mar 17, 2025

Key facts

NPI
1306646435
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
Legal business name
BLUESTONE HOME CARE LLC
Practice address
44 Coburn St
Auburn, ME 04210-5210
Phone
(207) 409-8560
NPI assigned
Mar 17, 2025
Organization subpart
No

Authorized official

Name
Didace Shima
Title
Ceo
Phone
(207) 409-8560

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

44 Coburn St
Auburn, ME 04210-5210

Mailing address

44 Coburn St
Auburn, ME 04210-5210
Phone (207) 409-8560

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2025.

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1306646435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 COBURN ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105210",
            "telephone_number": "207-409-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 COBURN ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105210",
            "telephone_number": "207-409-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUESTONE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "SHIMA",
        "authorized_official_first_name": "DIDACE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-409-8560"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

All providers in Auburn, ME · In Home Supportive Care Agency in Maine

Sources for this page

Verify at the official NPI Registry.