Organization Active NPI

Caring Companion Homecare, LLC

  • In Home Supportive Care Agency
  • Portland, ME
National Provider Identifier
1346921897
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CARING COMPANION HOMECARE, LLC
Practice address
43 Shepherd LN
Portland, ME 04103-1674
Phone
(207) 618-2857
NPI assigned
Jul 27, 2023
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
D'Juma Mbalassa
Title
Owner
Phone
(207) 618-2857

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

43 Shepherd LN
Portland, ME 04103-1674

Mailing address

43 Shepherd LN
Portland, ME 04103-1674
Phone (207) 618-2857

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2023.

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1346921897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SHEPHERD LN",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031674",
            "telephone_number": "207-618-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SHEPHERD LN",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031674",
            "telephone_number": "207-618-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING COMPANION HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "MBALASSA",
        "authorized_official_first_name": "D'JUMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-618-2857"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.