Organization Active NPI

Niles Home Care LLC

  • In Home Supportive Care Agency
  • South Portland, ME
National Provider Identifier
1326814567
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NILES HOME CARE LLC
Practice address
144 Thadeus St Ste 1
South Portland, ME 04106-6259
Phone
(720) 671-9338
NPI assigned
Nov 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Kidus Eshete
Title
Owner
Phone
(720) 671-9338

Specialties & licenses 1

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

Addresses

Primary practice location

144 Thadeus St Ste 1
South Portland, ME 04106-6259

Mailing address

8871 E Florida Ave Apt D16
Denver, CO 80247-2829
Phone (720) 671-9338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1326814567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8871 E FLORIDA AVE APT D16",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802472829",
            "telephone_number": "720-671-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 THADEUS ST STE 1",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066259",
            "telephone_number": "720-671-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILES HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "ESHETE",
        "authorized_official_first_name": "KIDUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-671-9338"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.