Professional Home Nursing, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2655 Issued in ME

Legal business name

PROFESSIONAL HOME NURSING, INC

Practice address

7 Hatch Dr
Suite 110
Caribou, ME 04736-2159

Phone

(207) 498-3915

Fax

(207) 493-4510

NPI assigned

May 23, 2005

Last updated

Sep 2, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Katherine A Anderson, RN, BSN, MSB

Title

Ceo, Co-Owner

Phone

(207) 498-3915

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Professional Home Nursing Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Plourde Wilson, MSW LCSW

  • Clinical Social Worker
  • Fort Kent, ME
  • NPI 1104931997
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1386647592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HATCH DR",
            "address_2": "SUITE 110",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362159",
            "telephone_number": "207-498-3915",
            "fax_number": "207-493-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HATCH DR",
            "address_2": "SUITE 110",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362159",
            "telephone_number": "207-498-3915",
            "fax_number": "207-493-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME NURSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO, CO-OWNER",
        "authorized_official_telephone_number": "207-498-3915",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, MSB"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ME",
            "license": "2655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "207055017310",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128450000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Home Nursing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Natania Piper, DO
• Kathleen R Poitras, MHRT-C, LSW
• Kendra L. Popwell, MHRT-C
• Michael B Porter, MD
• Michael L Powell
• Emmanuel Salvador Punelas, PT,CSCS
• Danielle Quinones
• Kathleen Ramey, OTR/L
• Glenn Raymond, PA-C
• Marla A. Raymond, MSW-MHRT/C

• Home Health Agency in Caribou, ME
• Providers in Caribou, ME by specialty
• Home Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.