Great Home Healthcare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GREAT HOME HEALTHCARE LLC

Practice address

650 Main St Ste 214
South Portland, ME 04106-5448

Phone

(207) 420-5501

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Abdalle Ali Mohamud

Title

Ceo

Phone

(207) 420-5501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1316559776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MAIN ST STE 214",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065448",
            "telephone_number": "207-420-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MAIN ST STE 214",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065448",
            "telephone_number": "207-420-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "ABDALLE",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-420-5501"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in South Portland, ME
• Providers in South Portland, 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 Aug 18, 2020; 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.