Active NPI
P&G Personal Care, LLC
- Home Health Aide
- Portland, ME
National Provider Identifier
1366061152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- P&G PERSONAL CARE, LLC
- Practice address
- 21 Bancroft CT
Portland, ME 04102-1731 - Phone
- (207) 405-9867
- NPI assigned
- Apr 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Patrick Manzanza Diongo
- Title
- Ceo
- Phone
- (207) 405-9867
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
21 Bancroft CT
Portland, ME 04102-1731
Mailing address
21 Bancroft CT
Portland, ME 04102-1731
Phone (207) 405-9867
Other practice location 1
21 Bancroft Ct
Portland, ME 04102-1731
Phone (207) 405-9867
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Westbrook, ME
- NPI 1649837279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586563200000",
"number": "1366061152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BANCROFT CT",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041021731",
"telephone_number": "207-405-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BANCROFT CT",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041021731",
"telephone_number": "207-405-9867"
}
],
"practiceLocations": [
{
"address_1": "21 Bancroft Ct",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041021731",
"country_code": "US",
"telephone_number": "207-405-9867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "P&G PERSONAL CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-11",
"last_updated": "2020-04-11",
"certification_date": "2020-04-11",
"status": "A",
"authorized_official_last_name": "DIONGO",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "MANZANZA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "207-405-9867",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"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 Apr 11, 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.