Organization Active NPI

Antonio Home Care LLC

  • In Home Supportive Care Agency
  • Westbrook, ME
National Provider Identifier
1336864966
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANTONIO HOME CARE LLC
Doing business as
Antonio Home care LLC
Practice address
70 Webster St
Westbrook, ME 04092-2433
Phone
(207) 482-9516
NPI assigned
Oct 6, 2022
Last updated
Oct 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Mariam B Samuel
Title
Manager Director
Phone
(207) 482-9516

Specialties & licenses 1

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

Addresses

Primary practice location

70 Webster St
Westbrook, ME 04092-2433

Mailing address

70 Webster St
Westbrook, ME 04092-2433
Phone (207) 482-9516

Other names 1

  • Antonio Home care LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1336864966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WEBSTER ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922433",
            "telephone_number": "207-482-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WEBSTER ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922433",
            "telephone_number": "207-482-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER DIRECTOR",
        "authorized_official_telephone_number": "207-482-9516"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antonio Home care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westbrook, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.