Organization Active NPI

P&G Personal Care, LLC

  • Home Health Aide
  • Portland, ME
National Provider Identifier
1366061152
Registry record updated Apr 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
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

Updated by the provider on Apr 11, 2020

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

Authorized official

Name
Mr. Patrick Manzanza DiongoNPI 1649837279
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)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.